Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.89 / $34.61 / $90.60	Facility		$7.89	$34.61	$90.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $6.18 / $15.00	Professional		$4.69	$6.18	$15.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.38 / $5.38	Professional		$5.17	$5.38	$5.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $108.75 / $171.62	Facility		$37.95	$108.75	$171.62
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $10.56 / $15.10	Professional		$4.74	$10.56	$15.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $18.77 / $39.45	Facility		$8.42	$18.77	$39.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $4.86 / $12.39	Professional		$2.83	$4.86	$12.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $4.74 / $7.15	Professional		$3.44	$4.74	$7.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $13,785.00 / $13,785.00	Facility		$6.03	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $5.17 / $8.84	Professional		$3.62	$5.17	$8.84