Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.30 / $19.35 / $115.64	Facility		$7.30	$19.35	$115.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $8.23 / $9.44	Professional		$7.36	$8.23	$9.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $6.56 / $6.56	Professional		$5.66	$6.56	$6.56
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $99.77 / $1,366.13	Facility		$24.26	$99.77	$1,366.13
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $15.20 / $19.41	Professional		$7.08	$15.20	$19.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $20.93 / $43.26	Facility		$6.60	$20.93	$43.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $7.63 / $13.42	Professional		$6.04	$7.63	$13.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.57 / $8.23	Professional		$4.34	$5.57	$8.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $13,785.00	Facility		$6.61	$6.61	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $9.07	Professional		$6.61	$6.61	$9.07
United Facility/Professional Facility Modifier Low / Median / High Price $5.19 / $5.19 / $5.19	Facility		$5.19	$5.19	$5.19
United Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $5.66 / $13.99	Professional		$3.78	$5.66	$13.99