Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $22.28 / $64.09	Facility		$4.67	$22.28	$64.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $5.42 / $6.03	Professional		$4.96	$5.42	$6.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.62 / $4.19	Professional		$3.62	$3.62	$4.19
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $75.06 / $437.33	Facility		$18.17	$75.06	$437.33
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $9.80 / $10.94	Professional		$4.51	$9.80	$10.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $12.99 / $27.63	Facility		$4.21	$12.99	$27.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $4.88 / $8.77	Professional		$3.81	$4.88	$8.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $3.56 / $6.03	Professional		$2.77	$3.56	$6.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $8,702.00 / $13,785.00	Facility		$4.22	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $4.22 / $5.54	Professional		$4.22	$4.22	$5.54
United Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.62 / $8.68	Professional		$2.52	$3.62	$8.68