Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $17.46 / $73.92	Facility		$4.88	$17.46	$73.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $3.94 / $4.51	Professional		$3.34	$3.94	$4.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $2.25 / $3.14	Professional		$1.36	$2.25	$3.14
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $77.70 / $289.85	Facility		$3.29	$77.70	$289.85
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $6.76 / $8.19	Professional		$3.39	$6.76	$8.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $10.10 / $20.71	Facility		$3.16	$10.10	$20.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $4.96 / $7.98	Professional		$2.90	$4.96	$7.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.67 / $4.51	Professional		$2.08	$2.67	$4.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $13,785.00 / $13,785.00	Facility		$3.16	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $4.34	Professional		$3.16	$3.16	$4.34
United Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Facility		$2.49	$2.49	$2.49
United Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.71 / $6.31	Professional		$1.90	$2.71	$6.31