Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $11.71 / $48.66	Facility		$3.08	$11.71	$48.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.37 / $2.70	Professional		$2.00	$2.37	$2.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.62 / $81.00	Professional		$1.29	$1.62	$81.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $29.54 / $348.54	Facility		$6.11	$29.54	$348.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $4.48 / $5.11	Professional		$4.48	$4.48	$5.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $5.74 / $12.37	Facility		$1.89	$5.74	$12.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.69 / $4.79	Professional		$1.75	$2.69	$4.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.59 / $3.05	Professional		$1.24	$1.59	$3.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $6,950.00 / $13,785.00	Facility		$1.89	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $1.89 / $2.59	Professional		$1.89	$1.89	$2.59
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.62 / $3.77	Professional		$1.12	$1.62	$3.77