Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $63.51 / $161.84	Facility		$16.77	$63.51	$161.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $26.60 / $28.10	Professional		$11.98	$26.60	$28.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $9.30 / $10.76	Professional		$5.18	$9.30	$10.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $35.31 / $170.87 / $6,540.23	Facility		$35.31	$170.87	$6,540.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $25.23 / $56.00	Professional		$11.62	$25.23	$56.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $33.92 / $70.98	Facility		$10.82	$33.92	$70.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $12.72 / $22.20	Professional		$10.01	$12.72	$22.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $9.14 / $15.49	Professional		$7.13	$9.14	$15.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $8,702.00 / $13,785.00	Facility		$10.84	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $14.88	Professional		$10.84	$10.84	$14.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $9.28 / $21.00	Professional		$6.20	$9.28	$21.00