Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $16.01 / $57.96	Facility		$3.80	$16.01	$57.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.05 / $4.01	Professional		$2.66	$3.05	$4.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $1.64	Professional		$1.64	$1.64	$1.64
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $39.60 / $495.75	Facility		$8.09	$39.60	$495.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $5.54 / $13.50	Professional		$2.85	$5.54	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $8.66 / $17.41	Facility		$2.65	$8.66	$17.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $3.43 / $5.68	Professional		$2.22	$3.43	$5.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $2.09 / $3.88	Professional		$1.52	$2.09	$3.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $8,702.00 / $13,785.00	Facility		$2.66	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $2.66 / $3.16	Professional		$2.66	$2.66	$3.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $2.27 / $4.80	Professional		$1.52	$2.27	$4.80