Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.18 / $22.35 / $69.05	Facility		$6.18	$22.35	$69.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $5.01 / $5.78	Professional		$4.33	$5.01	$5.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $3.47 / $4.44	Professional		$1.73	$3.47	$4.44
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $65.80 / $2,824.50	Facility		$15.25	$65.80	$2,824.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $7.51 / $10.49	Professional		$3.18	$7.51	$10.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $12.99 / $26.49	Facility		$4.04	$12.99	$26.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $6.34 / $10.64	Professional		$3.75	$6.34	$10.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.41 / $5.08	Professional		$2.66	$3.41	$5.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $8,702.00 / $13,785.00	Facility		$4.05	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.05 / $5.26	Professional		$4.05	$4.05	$5.26
United Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $5.20 / $6.94	Facility		$5.20	$5.20	$6.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.47 / $8.40	Professional		$2.43	$3.47	$8.40