Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $27.69 / $110.88	Facility		$7.92	$27.69	$110.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.00 / $6.89	Professional		$5.09	$6.00	$6.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $3.45 / $4.78	Professional		$2.06	$3.45	$4.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $94.35 / $693.67	Facility		$20.85	$94.35	$693.67
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $11.17 / $12.48	Professional		$5.17	$11.17	$12.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $15.16 / $31.57	Facility		$4.80	$15.16	$31.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $7.00 / $10.21	Professional		$4.50	$7.00	$10.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $4.07 / $5.81	Professional		$3.17	$4.07	$5.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $13,785.00 / $13,785.00	Facility		$4.82	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $6.62	Professional		$4.82	$4.82	$6.62
United Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Facility		$2.31	$2.31	$2.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $4.13 / $9.61	Professional		$2.76	$4.13	$9.61