Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $37.67 / $103.14	Facility		$9.47	$37.67	$103.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $8.52 / $10.89	Professional		$7.32	$8.52	$10.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $6.58 / $6.58	Professional		$5.68	$6.58	$6.58
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $24.42 / $118.17 / $2,697.78	Facility		$24.42	$118.17	$2,697.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $13.22 / $20.48	Professional		$7.10	$13.22	$20.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $20.93 / $43.39	Facility		$6.62	$20.93	$43.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $7.85 / $13.42	Professional		$6.04	$7.85	$13.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $5.59 / $9.47	Professional		$4.36	$5.59	$9.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $13,785.00 / $13,785.00	Facility		$6.63	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $6.63 / $9.09	Professional		$6.63	$6.63	$9.09
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.68 / $14.03	Professional		$3.98	$5.68	$14.03