Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $83.18 / $2,137.96	Facility		$3.98	$83.18	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $6.17 / $15.14	Professional		$2.00	$6.17	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.33 / $0.56	Facility		$0.32	$0.33	$0.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.72 / $10.00	Professional		$3.02	$3.72	$10.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.01 / $5.25	Professional		$4.27	$5.01	$5.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $12,589.25 / $14,454.40	Facility		$3.02	$12,589.25	$14,454.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.39 / $11.75	Professional		$2.63	$3.39	$11.75
United Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $3.98 / $6.46	Facility		$1.74	$3.98	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.69 / $3.98	Professional		$1.70	$2.69	$3.98