Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.09 / $95.90 / $401.94	Facility		$30.09	$95.90	$401.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $55.10 / $56.42	Professional		$53.10	$55.10	$56.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.86 / $6.86	Professional		$6.86	$6.86	$6.86
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $968.09 / $1,794.97	Facility		$8.61	$968.09	$1,794.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $57.63 / $74.58	Facility		$56.42	$57.63	$74.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $13,785.00 / $13,785.00	Facility		$8.02	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $8.21 / $56.70	Professional		$8.21	$8.21	$56.70
United Facility/Professional Facility Modifier Low / Median / High Price $159.97 / $159.97 / $159.97	Facility		$159.97	$159.97	$159.97
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $67.80	Professional		$56.50	$56.50	$67.80