Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $7.28 / $31.93	Facility		$2.31	$7.28	$31.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.68 / $4.00	Professional		$2.54	$2.68	$4.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.43 / $1.43	Professional		$1.43	$1.43	$1.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $35.93 / $350.55	Facility		$8.69	$35.93	$350.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.73	Professional		$2.73	$2.73	$2.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.56 / $7.94 / $16.68	Facility		$3.56	$7.94	$16.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.54 / $5.16	Professional		$1.93	$2.54	$5.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $2.00 / $2.91	Professional		$1.46	$2.00	$2.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $8,702.00 / $13,785.00	Facility		$2.54	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.76	Professional		$2.54	$2.54	$2.76
United Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $3.28 / $4.37	Facility		$3.28	$3.28	$4.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $2.18 / $3.93	Professional		$1.50	$2.18	$3.93