Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $27.38 / $75.76	Facility		$6.82	$27.38	$75.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $6.09 / $6.82	Professional		$5.27	$6.09	$6.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.73	Professional		$4.09	$4.09	$4.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $71.94 / $670.18	Facility		$17.48	$71.94	$670.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $7.56 / $12.36	Professional		$5.12	$7.56	$12.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $15.16 / $31.25	Facility		$4.76	$15.16	$31.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $5.51 / $9.81	Professional		$4.43	$5.51	$9.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $4.01 / $6.10	Professional		$3.14	$4.01	$6.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $13,785.00 / $13,785.00	Facility		$4.76	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $6.19	Professional		$4.76	$4.76	$6.19
United Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $4.09 / $10.10	Professional		$2.73	$4.09	$10.10