Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $41.79 / $128.52	Facility		$10.10	$41.79	$128.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $11.65 / $13.05	Professional		$9.78	$11.65	$13.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $7.83 / $9.06	Professional		$3.92	$7.83	$9.06
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $154.74 / $2,112.77	Facility		$35.47	$154.74	$2,112.77
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $20.95 / $27.73	Professional		$9.78	$20.95	$27.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $28.87 / $59.80	Facility		$9.11	$28.87	$59.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.60 / $18.59	Professional		$8.42	$10.60	$18.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.18 / $10.44	Professional		$6.00	$7.18	$10.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $8,702.00 / $13,785.00	Facility		$9.14	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $9.14 / $11.85	Professional		$9.14	$9.14	$11.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $7.83 / $18.23	Professional		$5.22	$7.83	$18.23