Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $34.29 / $157.08	Facility		$10.47	$34.29	$157.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.60 / $12.88	Professional		$9.52	$11.60	$12.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $7.73 / $8.94	Professional		$3.86	$7.73	$8.94
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $77.53 / $1,110.08	Facility		$21.29	$77.53	$1,110.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $20.82 / $27.37	Professional		$9.66	$20.82	$27.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $28.15 / $59.02	Facility		$9.00	$28.15	$59.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.60 / $18.59	Professional		$8.26	$10.60	$18.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $7.60 / $12.88	Professional		$5.92	$7.60	$12.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $13,785.00 / $13,785.00	Facility		$9.02	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $9.02 / $9.02	Professional		$8.77	$9.02	$9.02
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Facility		$7.08	$7.08	$7.08
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $7.73 / $14.33	Professional		$4.84	$7.73	$14.33