Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $39.61 / $159.00	Facility		$3.59	$39.61	$159.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.67 / $2.99	Professional		$2.31	$2.67	$2.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $1.79 / $2.08	Professional		$1.79	$1.79	$2.08
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $99.76 / $651.95	Facility		$16.43	$99.76	$651.95
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $5.01 / $7.40	Professional		$2.24	$5.01	$7.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $6.50 / $13.70	Facility		$2.09	$6.50	$13.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $3.28 / $7.07	Professional		$1.91	$3.28	$7.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.76 / $2.99	Professional		$1.38	$1.76	$2.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $6,950.00 / $13,785.00	Facility		$2.09	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $2.87	Professional		$2.09	$2.09	$2.87
United Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $136.90 / $165.08	Facility		$75.70	$136.90	$165.08
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.79 / $4.44	Professional		$1.26	$1.79	$4.44