Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $29.79 / $127.66	Facility		$10.06	$29.79	$127.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $11.61 / $14.96	Professional		$4.32	$11.61	$14.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $8.67 / $9.02	Professional		$8.67	$8.67	$9.02
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $46.75 / $46.75 / $46.75	Facility		$46.75	$46.75	$46.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $27.65 / $27.65	Professional		$27.65	$27.65	$27.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $28.87 / $59.62	Facility		$9.09	$28.87	$59.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.60 / $18.59	Professional		$8.42	$10.60	$18.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.16 / $10.41	Professional		$5.20	$7.16	$10.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $13,785.00 / $13,785.00	Facility		$9.11	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $11.95	Professional		$9.11	$9.11	$11.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.81 / $14.74	Professional		$5.25	$7.81	$14.74