Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.97 / $53.89 / $188.04	Facility		$9.97	$53.89	$188.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $11.48 / $23.02	Professional		$9.66	$11.48	$23.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $7.73	Professional		$7.73	$7.73	$7.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $44.08 / $182.05 / $12,439.50	Facility		$44.08	$182.05	$12,439.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $19.78 / $49.00	Professional		$9.66	$19.78	$49.00
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 $5.15 / $7.08 / $10.30	Professional		$5.15	$7.08	$10.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $6,950.00 / $13,785.00	Facility		$9.02	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $7.53 / $19.07	Professional		$5.15	$7.53	$19.07