Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $11.25 / $43.03	Facility		$3.95	$11.25	$43.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.55 / $4.73	Professional		$3.05	$3.55	$4.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.98 / $2.74	Professional		$1.44	$1.98	$2.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $42.65 / $142.34	Facility		$3.29	$42.65	$142.34
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $6.57 / $12.00	Professional		$2.96	$6.57	$12.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $8.66 / $18.10	Facility		$2.76	$8.66	$18.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.54 / $6.91	Professional		$2.56	$4.54	$6.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.33 / $3.95	Professional		$1.82	$2.33	$3.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.77 / $13,785.00 / $13,785.00	Facility		$2.77	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $2.77 / $3.58	Professional		$2.77	$2.77	$3.58
United Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.37 / $5.85	Professional		$1.66	$2.37	$5.85