Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $40.40 / $83.37	Facility		$12.35	$40.40	$83.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $37.95	Professional		$2.47	$2.47	$37.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $3.52	Professional		$2.11	$2.11	$3.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $261.95 / $947.25	Facility		$2.40	$261.95	$947.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.64 / $2.99	Professional		$2.50	$2.64	$2.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $3.42 / $3.76	Facility		$2.47	$3.42	$3.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $2.56	Professional		$2.47	$2.47	$2.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.68 / $3.71	Professional		$2.56	$2.68	$3.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $13,785.00 / $13,785.00	Facility		$2.93	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.99 / $3.90	Professional		$2.19	$2.99	$3.90
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.61 / $36.11	Professional		$2.47	$2.61	$36.11