Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $17.18 / $86.82	Facility		$6.87	$17.18	$86.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $7.75 / $10.62	Professional		$6.60	$7.75	$10.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $4.45	Professional		$4.45	$4.45	$4.45
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $28.90 / $166.40	Facility		$26.35	$28.90	$166.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $14.61 / $18.87	Professional		$6.67	$14.61	$18.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.21 / $19.48 / $40.74	Facility		$6.21	$19.48	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $8.71 / $12.39	Professional		$5.79	$8.71	$12.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.25 / $10.02	Professional		$4.09	$5.25	$10.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $13,785.00 / $13,785.00	Facility		$6.22	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $6.22 / $8.07	Professional		$6.22	$6.22	$8.07
United Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $5.33 / $12.41	Professional		$3.73	$5.33	$12.41