Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $25.05 / $127.09	Facility		$10.01	$25.05	$127.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $11.59 / $14.32	Professional		$9.61	$11.59	$14.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $8.59 / $8.99	Professional		$8.59	$8.59	$8.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Facility		$162.00	$162.00	$162.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $21.62 / $23.48	Professional		$10.74	$21.62	$23.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $31.76 / $65.62	Facility		$10.01	$31.76	$65.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.60 / $20.65	Professional		$8.26	$10.60	$20.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $7.88 / $11.46	Professional		$5.73	$7.88	$11.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $8,702.00 / $13,785.00	Facility		$10.02	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $12.43	Professional		$10.02	$10.02	$12.43
United Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $14.32 / $29.38	Facility		$6.73	$14.32	$29.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $8.59 / $18.64	Professional		$5.73	$8.59	$18.64