Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.90 / $41.59 / $142.43	Facility		$8.90	$41.59	$142.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $6.54 / $8.17	Professional		$6.04	$6.54	$8.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.90 / $5.68	Professional		$4.09	$4.90	$5.68
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $53.55 / $128.77 / $198.90	Facility		$53.55	$128.77	$198.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $13.17 / $14.56	Professional		$6.13	$13.17	$14.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $18.04 / $37.44	Facility		$5.71	$18.04	$37.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $8.35 / $14.03	Professional		$5.33	$8.35	$14.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $4.82 / $7.32	Professional		$3.76	$4.82	$7.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $13,785.00 / $13,785.00	Facility		$5.72	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $5.72 / $7.85	Professional		$5.72	$5.72	$7.85
United Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $5.60 / $5.83	Facility		$2.86	$5.60	$5.83
United Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.90 / $11.42	Professional		$3.16	$4.90	$11.42