Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $14.13 / $45.71	Facility		$4.79	$14.13	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.17 / $30.20	Professional		$3.02	$4.17	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.82 / $3.16	Professional		$2.34	$2.82	$3.16
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $37.15 / $120.23	Facility		$27.54	$37.15	$120.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $7.59 / $13.49	Professional		$3.55	$7.59	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $10.72 / $21.88	Facility		$4.68	$10.72	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.25 / $7.24	Professional		$3.02	$5.25	$7.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.82 / $5.25	Professional		$2.24	$2.82	$5.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $10,471.29 / $25,118.86	Facility		$4.79	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.17 / $5.13	Professional		$3.31	$4.17	$5.13
United Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $4.79 / $10.00	Facility		$2.24	$4.79	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.88 / $6.76	Professional		$1.91	$2.88	$6.76