Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $34.67 / $165.96	Facility		$8.71	$34.67	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $56.23	Professional		$6.03	$7.08	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.25 / $7.41	Professional		$4.27	$5.25	$7.41
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $14.13 / $14.45	Professional		$6.46	$14.13	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $19.50 / $39.81	Facility		$8.51	$19.50	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.71 / $13.49	Professional		$5.62	$8.71	$13.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.79 / $9.77	Professional		$3.47	$4.79	$9.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10,471.29 / $25,118.86	Facility		$8.71	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.94 / $9.77	Professional		$5.25	$7.94	$9.77
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $8.71 / $17.78	Facility		$4.07	$8.71	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.25 / $12.59	Professional		$3.39	$5.25	$12.59