Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $31.48 / $152.69	Facility		$13.49	$31.48	$152.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $13.87 / $23.08	Professional		$10.34	$13.87	$23.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $15.91	Professional		$15.27	$15.27	$15.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $60.64 / $64.68	Professional		$19.09	$60.64	$64.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $32.20 / $76.08	Facility		$17.78	$32.20	$76.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $27.93 / $36.65	Professional		$13.49	$27.93	$36.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $14.00 / $15.42	Professional		$10.18	$14.00	$15.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $20.36 / $20.36	Professional		$20.36	$20.36	$20.36
United Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $15.27 / $27.49	Professional		$9.85	$15.27	$27.49