Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $14.08 / $88.06	Facility		$6.87	$14.08	$88.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $5.94 / $6.87	Professional		$5.15	$5.94	$6.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $3.44 / $4.76	Professional		$2.06	$3.44	$4.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $64.91 / $1,149.60	Facility		$17.82	$64.91	$1,149.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $10.92 / $12.46	Professional		$5.15	$10.92	$12.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $15.16 / $31.48	Facility		$4.80	$15.16	$31.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $7.00 / $12.23	Professional		$4.49	$7.00	$12.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.05 / $5.76	Professional		$3.16	$4.05	$5.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $8,702.00 / $13,785.00	Facility		$4.80	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $6.59	Professional		$4.80	$4.80	$6.59
United Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $4.12 / $9.61	Professional		$2.89	$4.12	$9.61