Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $42.01 / $142.32	Facility		$16.67	$42.01	$142.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $1.99 / $2.84	Professional		$1.98	$1.99	$2.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.72 / $2.21	Professional		$1.72	$1.72	$2.21
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $19.32 / $1,527.63	Facility		$1.95	$19.32	$1,527.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $1.92 / $1.92	Professional		$1.92	$1.92	$1.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $2.94 / $3.81	Facility		$1.89	$2.94	$3.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $2.06	Professional		$1.99	$1.99	$2.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.16 / $2.99	Professional		$2.06	$2.16	$2.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.21 / $13,785.00 / $13,785.00	Facility		$2.21	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.29 / $3.49	Professional		$1.78	$2.29	$3.49
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.09 / $2.44	Professional		$1.99	$2.09	$2.44