Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $43.91 / $105.21	Facility		$15.29	$43.91	$105.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $13.76 / $13.91	Professional		$11.84	$13.76	$13.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $10.62 / $10.62	Professional		$9.17	$10.62	$10.62
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $130.41 / $910.15	Facility		$39.86	$130.41	$910.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $24.33 / $42.00	Professional		$11.47	$24.33	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $33.92 / $70.06	Facility		$10.68	$33.92	$70.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $12.51 / $21.68	Professional		$9.85	$12.51	$21.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $9.02 / $15.29	Professional		$7.03	$9.02	$15.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $8,702.00 / $13,785.00	Facility		$10.70	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $10.70 / $14.06	Professional		$10.70	$10.70	$14.06
United Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $8.93 / $21.38	Professional		$5.35	$8.93	$21.38