Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $25.50 / $103.05	Facility		$11.81	$25.50	$103.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $11.79 / $21.57	Professional		$9.78	$11.79	$21.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $7.91 / $9.16	Professional		$6.60	$7.91	$9.16
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $154.74 / $1,742.80	Facility		$25.40	$154.74	$1,742.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $21.06 / $63.00	Professional		$9.89	$21.06	$63.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $28.87 / $60.44	Facility		$9.22	$28.87	$60.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.81 / $19.10	Professional		$8.42	$10.81	$19.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.25 / $10.55	Professional		$5.28	$7.25	$10.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $8,702.00 / $13,785.00	Facility		$9.23	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $12.12	Professional		$9.23	$9.23	$12.12
United Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $11.87 / $15.83	Facility		$7.25	$11.87	$15.83
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.91 / $14.94	Professional		$5.25	$7.91	$14.94