Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $16.57 / $63.05	Facility		$5.42	$16.57	$63.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.51 / $6.19	Professional		$3.89	$4.51	$6.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $3.11 / $3.96	Professional		$2.47	$3.11	$3.96
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $56.95 / $395.53	Facility		$13.65	$56.95	$395.53
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $7.15 / $11.21	Professional		$2.85	$7.15	$11.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $11.55 / $23.74	Facility		$3.62	$11.55	$23.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $5.78 / $9.58	Professional		$3.38	$5.78	$9.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $3.06 / $5.08	Professional		$2.38	$3.06	$5.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $13,785.00 / $13,785.00	Facility		$3.63	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.76	Professional		$3.63	$3.63	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.11 / $7.67	Professional		$2.18	$3.11	$7.67