Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $35.89 / $77.04	Facility		$17.48	$35.89	$77.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $24.40	Professional		$0.14	$0.14	$24.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $13.00	Professional		$11.00	$11.00	$13.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $543.40 / $934.00	Facility		$0.12	$543.40	$934.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.14	Professional		$0.11	$0.12	$0.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.15 / $0.18	Facility		$0.14	$0.15	$0.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.14	Professional		$0.14	$0.14	$0.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.23 / $0.23	Professional		$0.14	$0.23	$0.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $13,785.00 / $13,785.00	Facility		$0.21	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.13	Professional		$0.11	$0.12	$0.13
United Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.14 / $0.14	Facility		$0.14	$0.14	$0.14
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $1.27	Professional		$0.14	$0.15	$1.27