Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $31.08 / $190.16	Facility		$8.41	$31.08	$190.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $7.50 / $8.41	Professional		$6.02	$7.50	$8.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $5.05 / $5.84	Professional		$2.81	$5.05	$5.84
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $199.80 / $4,360.43	Facility		$25.33	$199.80	$4,360.43
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $11.20 / $13.54	Professional		$6.31	$11.20	$13.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $18.77 / $38.54	Facility		$5.88	$18.77	$38.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $6.79 / $11.87	Professional		$5.40	$6.79	$11.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $4.96 / $8.41	Professional		$3.87	$4.96	$8.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $8,702.00 / $13,785.00	Facility		$5.89	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $8.81	Professional		$5.89	$5.89	$8.81
United Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $5.76 / $5.99	Facility		$2.94	$5.76	$5.99
United Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $5.05 / $12.11	Professional		$3.53	$5.05	$12.11