Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $49.57 / $172.55	Facility		$13.48	$49.57	$172.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $9.75 / $17.45	Professional		$8.02	$9.75	$17.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $6.70 / $9.30	Professional		$4.01	$6.70	$9.30
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $189.00 / $2,371.71	Facility		$36.31	$189.00	$2,371.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $17.41 / $28.98	Professional		$7.36	$17.41	$28.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $29.59 / $61.36	Facility		$9.35	$29.59	$61.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.12 / $28.08	Professional		$8.51	$11.12	$28.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $7.36 / $10.71	Professional		$6.10	$7.36	$10.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $6,950.00 / $13,785.00	Facility		$9.36	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $12.31	Professional		$9.36	$9.36	$12.31
United Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $8.02 / $18.72	Professional		$5.36	$8.02	$18.72