Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $52.78 / $151.66	Facility		$14.27	$52.78	$151.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $12.45 / $18.46	Professional		$10.59	$12.45	$18.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $7.14 / $9.51	Professional		$4.28	$7.14	$9.51
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $178.35 / $1,963.50	Facility		$38.03	$178.35	$1,963.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.60 / $30.32	Professional		$10.70	$15.60	$30.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.97 / $31.76 / $65.39	Facility		$9.97	$31.76	$65.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $15.66 / $26.05	Professional		$9.32	$15.66	$26.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $8.42 / $11.42	Professional		$6.56	$8.42	$11.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $13,785.00 / $13,785.00	Facility		$9.99	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $9.99 / $13.70	Professional		$9.99	$9.99	$13.70
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $8.56 / $16.17	Professional		$5.71	$8.56	$16.17