Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $52.49 / $176.00	Facility		$13.04	$52.49	$176.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $14.69 / $19.38	Professional		$4.32	$14.69	$19.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $11.70 / $11.70	Professional		$11.70	$11.70	$11.70
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Facility		$51.00	$51.00	$51.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $35.78 / $49.00	Professional		$35.78	$35.78	$49.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $36.81 / $77.20	Facility		$11.77	$36.81	$77.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.03 / $19.71	Professional		$10.80	$13.03	$19.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $9.27 / $13.48	Professional		$7.75	$9.27	$13.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $8,702.00 / $13,785.00	Facility		$11.80	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $11.80 / $15.30	Professional		$11.80	$11.80	$15.30
United Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $16.85 / $34.58	Facility		$7.92	$16.85	$34.58
United Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $10.11 / $18.20	Professional		$6.52	$10.11	$18.20