Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $28.18 / $107.15	Facility		$12.30	$28.18	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.55 / $14.79	Professional		$7.94	$9.55	$14.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.46 / $7.41	Professional		$5.37	$6.46	$7.41
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $128.82 / $251.19	Facility		$52.48	$128.82	$251.19
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $17.78 / $22.91	Professional		$8.13	$17.78	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $23.99 / $48.98	Facility		$10.47	$23.99	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.47 / $15.49	Professional		$7.08	$10.47	$15.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.89 / $12.02	Professional		$4.27	$5.89	$12.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10,471.29 / $25,118.86	Facility		$10.72	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.77 / $12.02	Professional		$9.33	$9.77	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.72 / $21.88	Facility		$5.01	$10.72	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.46 / $15.85	Professional		$4.27	$6.46	$15.85