Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $6.16 / $39.40	Facility		$2.45	$6.16	$39.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.22 / $4.62	Professional		$2.35	$3.22	$4.62
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $39.92 / $528.09	Facility		$9.67	$39.92	$528.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $3.02 / $12.00	Professional		$2.21	$3.02	$12.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $8.66 / $18.42	Facility		$3.93	$8.66	$18.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.83 / $5.68	Professional		$2.04	$2.83	$5.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.37 / $3.63	Professional		$1.85	$2.37	$3.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $13,785.00 / $13,785.00	Facility		$2.81	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.81 / $3.05	Professional		$2.81	$2.81	$3.05
United Facility/Professional Facility Modifier Low / Median / High Price $2.21 / $2.21 / $4.00	Facility		$2.21	$2.21	$4.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.54 / $4.43	Professional		$1.71	$2.54	$4.43