Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.38 / $26.60 / $73.90	Facility		$7.38	$26.60	$73.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $5.64 / $6.47	Professional		$4.53	$5.64	$6.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $3.24 / $4.49	Professional		$1.94	$3.24	$4.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $76.50 / $616.25	Facility		$17.42	$76.50	$616.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $8.93 / $11.75	Professional		$3.56	$8.93	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $14.43 / $29.65	Facility		$4.51	$14.43	$29.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $6.47 / $13.29	Professional		$4.23	$6.47	$13.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.82 / $5.18	Professional		$2.98	$3.82	$5.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $13,785.00 / $13,785.00	Facility		$4.53	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $4.53 / $5.95	Professional		$4.53	$4.53	$5.95
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.88 / $7.33	Professional		$2.25	$3.88	$7.33