Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $10.80 / $25.04	Facility		$5.57	$10.80	$25.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.34 / $6.52	Professional		$4.13	$4.34	$6.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $2.79	Professional		$2.79	$2.79	$2.79
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $61.48 / $405.02	Facility		$14.89	$61.48	$405.02
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $4.18 / $7.20	Professional		$4.18	$4.18	$7.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $12.27 / $25.52	Facility		$3.90	$12.27	$25.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.66 / $7.74	Professional		$3.64	$4.66	$7.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $3.06 / $4.46	Professional		$2.23	$3.06	$4.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $8,702.00 / $13,785.00	Facility		$3.90	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $3.90 / $5.07	Professional		$3.90	$3.90	$5.07
United Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.34 / $8.25	Professional		$2.16	$3.34	$8.25