Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $37.45 / $164.09	Facility		$17.32	$37.45	$164.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $17.29 / $33.74	Professional		$14.32	$17.29	$33.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $11.61 / $13.44	Professional		$9.68	$11.61	$13.44
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $197.50 / $3,114.60	Facility		$37.27	$197.50	$3,114.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $31.57 / $63.00	Professional		$8.25	$31.57	$63.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $42.58 / $88.67	Facility		$13.52	$42.58	$88.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $15.90 / $27.88	Professional		$12.39	$15.90	$27.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $11.42 / $15.48	Professional		$8.90	$11.42	$15.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $8,702.00 / $13,785.00	Facility		$13.55	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $13.55 / $13.55	Professional		$13.55	$13.55	$13.55
United Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $13.29 / $13.81	Facility		$6.77	$13.29	$13.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $11.61 / $27.88	Professional		$7.49	$11.61	$27.88