Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $13.90 / $64.18	Facility		$3.93	$13.90	$64.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.53 / $5.29	Professional		$3.07	$3.53	$5.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $2.36 / $2.73	Professional		$1.44	$2.36	$2.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $30.80 / $1,014.81	Facility		$3.29	$30.80	$1,014.81
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.57 / $7.12	Professional		$2.95	$5.57	$7.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $8.66 / $18.01	Facility		$2.74	$8.66	$18.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.42 / $8.77	Professional		$2.56	$4.42	$8.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.31 / $4.43	Professional		$1.81	$2.31	$4.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $13,785.00 / $13,785.00	Facility		$2.75	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
United Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $2.54 / $5.48	Professional		$1.65	$2.54	$5.48