Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.47 / $45.20 / $174.37	Facility		$18.47	$45.20	$174.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $20.04 / $24.08	Professional		$15.92	$20.04	$24.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $14.45 / $16.72	Professional		$6.50	$14.45	$16.72
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $165.60 / $483.65	Facility		$46.38	$165.60	$483.65
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $31.30 / $54.08	Professional		$11.25	$31.30	$54.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $52.89 / $110.34	Facility		$16.82	$52.89	$110.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $18.57 / $28.21	Professional		$15.41	$18.57	$28.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $14.21 / $19.26	Professional		$11.08	$14.21	$19.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $8,702.00 / $13,785.00	Facility		$16.86	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $23.12	Professional		$16.86	$16.86	$23.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.45 / $26.01	Professional		$10.11	$14.45	$26.01