Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $37.70 / $123.07	Facility		$10.33	$37.70	$123.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $8.94 / $9.81	Professional		$7.75	$8.94	$9.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $5.17 / $6.89	Professional		$3.10	$5.17	$6.89
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $78.40 / $129.19 / $192.80	Facility		$78.40	$129.19	$192.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $16.82 / $17.39	Professional		$5.68	$16.82	$17.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.22 / $23.10 / $47.34	Facility		$7.22	$23.10	$47.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $10.51 / $14.97	Professional		$6.75	$10.51	$14.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $6.09 / $10.33	Professional		$4.75	$6.09	$10.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.23 / $13,785.00 / $13,785.00	Facility		$7.23	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $9.92	Professional		$7.23	$7.23	$9.92
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.20 / $15.30	Professional		$4.13	$6.20	$15.30