Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $36.11 / $106.93	Facility		$14.23	$36.11	$106.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $16.55 / $21.49	Professional		$12.55	$16.55	$21.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $11.04 / $12.78	Professional		$8.77	$11.04	$12.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $37.19 / $177.14 / $713.14	Facility		$37.19	$177.14	$713.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $33.36 / $74.23	Professional		$14.48	$33.36	$74.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $40.15 / $88.49	Facility		$13.50	$40.15	$88.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $12.01 / $27.66	Professional		$10.16	$12.01	$27.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $10.62 / $15.45	Professional		$7.72	$10.62	$15.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $13,785.00 / $13,785.00	Facility		$13.52	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $13.52 / $14.39	Professional		$13.52	$13.52	$14.39
United Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Facility		$10.62	$10.62	$10.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.59 / $20.85	Professional		$8.11	$11.59	$20.85