Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $21.30 / $105.07	Facility		$8.52	$21.30	$105.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $10.71 / $11.98	Professional		$9.34	$10.71	$11.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $8.33	Professional		$7.19	$7.19	$8.33
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $97.60 / $97.60 / $97.60	Facility		$97.60	$97.60	$97.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $25.75	Professional		$19.30	$19.30	$25.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $26.70 / $54.90	Facility		$8.38	$26.70	$54.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $9.75 / $17.04	Professional		$7.63	$9.75	$17.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $7.07 / $11.98	Professional		$5.51	$7.07	$11.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $13,785.00 / $13,785.00	Facility		$8.39	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $8.39 / $10.11	Professional		$8.39	$8.39	$10.11
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.19 / $16.30	Professional		$4.79	$7.19	$16.30