Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.73 / $16.52 / $45.80	Facility		$4.73	$16.52	$45.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.84 / $4.73	Professional		$3.55	$3.84	$4.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $2.84 / $2.84	Professional		$2.84	$2.84	$2.84
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $45.47 / $443.35	Facility		$11.06	$45.47	$443.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.72 / $7.79	Professional		$3.55	$5.72	$7.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $10.10 / $21.67	Facility		$3.31	$10.10	$21.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $3.60 / $7.23	Professional		$2.70	$3.60	$7.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.79 / $4.73	Professional		$2.18	$2.79	$4.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $8,702.00 / $13,785.00	Facility		$3.31	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Professional		$3.31	$3.31	$3.31
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.84 / $6.21	Professional		$1.99	$2.84	$6.21