Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $22.18 / $77.34	Facility		$7.20	$22.18	$77.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $6.42 / $7.20	Professional		$5.33	$6.42	$7.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $4.32 / $5.00	Professional		$3.60	$4.32	$5.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $68.84 / $300.72	Facility		$3.29	$68.84	$300.72
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $11.91 / $13.05	Professional		$5.40	$11.91	$13.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $15.88 / $32.99	Facility		$5.03	$15.88	$32.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $7.90 / $13.29	Professional		$4.70	$7.90	$13.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.25 / $5.76	Professional		$3.31	$4.25	$5.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $13,785.00 / $13,785.00	Facility		$5.04	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.04 / $6.89	Professional		$5.04	$5.04	$6.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $4.32 / $10.06	Professional		$2.79	$4.32	$10.06