Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $33.78 / $139.00	Facility		$8.50	$33.78	$139.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $7.03 / $8.07	Professional		$5.65	$7.03	$8.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.04 / $5.61	Professional		$3.84	$4.04	$5.61
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $106.25 / $821.09	Facility		$21.94	$106.25	$821.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $11.54 / $17.46	Professional		$6.05	$11.54	$17.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $18.04 / $36.97	Facility		$5.64	$18.04	$36.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $8.08 / $14.89	Professional		$5.28	$8.08	$14.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $4.76 / $8.07	Professional		$3.71	$4.76	$8.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.65 / $8,702.00 / $13,785.00	Facility		$5.65	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $5.65 / $8.46	Professional		$5.65	$5.65	$8.46
United Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $5.53 / $5.75	Facility		$2.82	$5.53	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.84 / $11.28	Professional		$3.39	$4.84	$11.28