Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $13.49 / $46.77	Facility		$5.50	$13.49	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.37 / $27.54	Professional		$3.02	$5.37	$27.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.14 / $2.34	Professional		$1.91	$2.14	$2.34
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $6.76	Professional		$3.24	$3.24	$6.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $9.33 / $19.50	Facility		$4.17	$9.33	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.68 / $6.76	Professional		$2.82	$4.68	$6.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.34 / $4.90	Professional		$1.70	$2.34	$4.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $10,471.29 / $25,118.86	Facility		$4.27	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.89 / $4.79	Professional		$3.80	$3.89	$4.79
United Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $4.27 / $8.71	Facility		$2.00	$4.27	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $3.02 / $6.03	Professional		$1.91	$3.02	$6.03