Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $17.68 / $83.62	Facility		$5.15	$17.68	$83.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $5.14 / $5.66	Professional		$4.45	$5.14	$5.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.99 / $3.99	Professional		$3.45	$3.99	$3.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $13.57 / $1,199.11	Facility		$3.29	$13.57	$1,199.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $6.72 / $10.43	Professional		$4.30	$6.72	$10.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $12.99 / $26.30	Facility		$4.01	$12.99	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $6.61 / $10.64	Professional		$3.75	$6.61	$10.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $3.39 / $5.08	Professional		$2.64	$3.39	$5.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $13,785.00 / $13,785.00	Facility		$4.01	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $5.52	Professional		$4.01	$4.01	$5.52
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.44 / $8.03	Professional		$2.10	$3.44	$8.03