Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $14.72 / $55.60	Facility		$5.18	$14.72	$55.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.68 / $7.13	Professional		$3.89	$4.68	$7.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $3.11 / $3.59	Professional		$1.44	$3.11	$3.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $55.30 / $116.00	Facility		$10.40	$55.30	$116.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.40 / $9.38	Professional		$3.89	$6.40	$9.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $11.55 / $23.74	Facility		$3.62	$11.55	$23.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $5.78 / $11.55	Professional		$3.38	$5.78	$11.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $3.06 / $5.08	Professional		$2.38	$3.06	$5.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $8,702.00 / $13,785.00	Facility		$3.63	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.76	Professional		$3.63	$3.63	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $3.11 / $7.22	Professional		$2.06	$3.11	$7.22