Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $34.46 / $95.20	Facility		$8.74	$34.46	$95.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $7.57 / $8.74	Professional		$6.47	$7.57	$8.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $4.37 / $6.07	Professional		$2.62	$4.37	$6.07
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $22.44 / $87.55 / $552.00	Facility		$22.44	$87.55	$552.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $14.30 / $15.85	Professional		$6.56	$14.30	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $19.48 / $40.04	Facility		$6.11	$19.48	$40.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $8.89 / $15.95	Professional		$5.71	$8.89	$15.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.08 / $6.99	Professional		$4.01	$5.08	$6.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $8,702.00 / $13,785.00	Facility		$6.12	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $8.02	Professional		$6.12	$6.12	$8.02
United Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $5.24 / $12.21	Professional		$3.38	$5.24	$12.21