Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $18.91 / $91.17	Facility		$4.09	$18.91	$91.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $5.68 / $8.06	Professional		$3.96	$5.68	$8.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $4.21 / $4.87	Professional		$3.51	$4.21	$4.87
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $124.00 / $3,041.42	Facility		$18.75	$124.00	$3,041.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $11.19 / $11.81	Professional		$5.26	$11.19	$11.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $15.16 / $32.11	Facility		$4.90	$15.16	$32.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $6.86 / $10.33	Professional		$4.58	$6.86	$10.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.13 / $6.10	Professional		$3.22	$4.13	$6.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $8,702.00 / $13,785.00	Facility		$4.91	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.91 / $4.91	Professional		$4.80	$4.91	$4.91
United Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $4.21 / $7.83	Professional		$2.71	$4.21	$7.83