Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $34.26 / $116.96	Facility		$11.49	$34.26	$116.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $9.58 / $10.74	Professional		$8.06	$9.58	$10.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $5.37 / $7.16	Professional		$3.22	$5.37	$7.16
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $24.42 / $118.17 / $1,311.21	Facility		$24.42	$118.17	$1,311.21
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $17.67 / $22.83	Professional		$8.06	$17.67	$22.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $23.82 / $49.21	Facility		$7.51	$23.82	$49.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $8.69 / $15.49	Professional		$6.83	$8.69	$15.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $6.34 / $10.19	Professional		$4.94	$6.34	$10.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $13,785.00 / $13,785.00	Facility		$7.52	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $7.52 / $10.31	Professional		$7.52	$7.52	$10.31
United Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $5.91 / $5.91	Facility		$5.91	$5.91	$5.91
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.44 / $15.91	Professional		$4.51	$6.44	$15.91