Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $35.59 / $109.00	Facility		$11.92	$35.59	$109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $10.79 / $21.58	Professional		$8.99	$10.79	$21.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $7.19	Professional		$5.99	$5.99	$7.19
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $25.08 / $103.16 / $1,838.00	Facility		$25.08	$103.16	$1,838.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $10.40 / $19.30	Professional		$8.99	$10.40	$19.30
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 / $13.15 / $18.75	Professional		$7.63	$13.15	$18.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.59 / $9.58	Professional		$5.25	$6.59	$9.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $8,702.00 / $13,785.00	Facility		$8.39	$8,702.00	$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 $5.03 / $7.19 / $16.30	Professional		$5.03	$7.19	$16.30