Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $70.81 / $214.80	Facility		$17.98	$70.81	$214.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $14.85 / $22.14	Professional		$12.77	$14.85	$22.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $10.22 / $11.83	Professional		$5.69	$10.22	$11.83
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $39.93 / $164.24 / $465.69	Facility		$39.93	$164.24	$465.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $27.08 / $49.00	Professional		$12.77	$27.08	$49.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $37.53 / $78.04	Facility		$11.90	$37.53	$78.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $18.69 / $28.58	Professional		$11.13	$18.69	$28.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $10.05 / $17.03	Professional		$7.83	$10.05	$17.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $13,785.00 / $13,785.00	Facility		$11.92	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $11.92 / $15.65	Professional		$11.92	$11.92	$15.65
United Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $17.03 / $34.95	Facility		$8.00	$17.03	$34.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $10.22 / $23.80	Professional		$6.59	$10.22	$23.80