Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $24.68 / $102.20	Facility		$11.26	$24.68	$102.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.81 / $11.88	Professional		$8.32	$9.81	$11.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $6.76 / $7.82	Professional		$3.04	$6.76	$7.82
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $117.60 / $1,092.40	Facility		$25.74	$117.60	$1,092.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $8.44 / $23.91	Professional		$8.25	$8.44	$23.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $24.54 / $51.60	Facility		$7.86	$24.54	$51.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $9.11 / $16.52	Professional		$7.15	$9.11	$16.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.64 / $10.10	Professional		$5.18	$6.64	$10.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $13,785.00 / $13,785.00	Facility		$7.88	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $10.81	Professional		$7.88	$7.88	$10.81
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $6.76 / $12.16	Professional		$4.36	$6.76	$12.16