Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $18.79 / $56.29	Facility		$4.76	$18.79	$56.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.13 / $5.24	Professional		$3.55	$4.13	$5.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $2.86 / $3.19	Professional		$1.44	$2.86	$3.19
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $35.00 / $2,969.07	Facility		$4.42	$35.00	$2,969.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $7.67 / $13.50	Professional		$3.57	$7.67	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $10.19 / $21.81	Facility		$3.33	$10.19	$21.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.22 / $10.27	Professional		$3.00	$5.22	$10.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.81 / $5.20	Professional		$2.19	$2.81	$5.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $8,702.00 / $13,785.00	Facility		$3.33	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $4.42	Professional		$3.33	$3.33	$4.42
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.86 / $6.42	Professional		$2.00	$2.86	$6.42