Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $3.75 / $18.22	Facility		$2.35	$3.75	$18.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.74 / $3.21	Professional		$2.35	$2.74	$3.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.12	Professional		$1.83	$1.83	$2.12
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $36.72 / $585.12	Facility		$8.25	$36.72	$585.12
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $4.97 / $5.07	Professional		$4.97	$4.97	$5.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $6.50 / $13.98	Facility		$2.98	$6.50	$13.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.54 / $4.13	Professional		$1.91	$2.54	$4.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.80 / $2.44	Professional		$1.40	$1.80	$2.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $8,702.00 / $13,785.00	Facility		$2.14	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.76	Professional		$2.14	$2.14	$2.76
United Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.98 / $4.24	Professional		$1.28	$1.98	$4.24