Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $49.98 / $149.38	Facility		$13.54	$49.98	$149.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $11.81 / $13.54	Professional		$8.76	$11.81	$13.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $9.41	Professional		$6.77	$6.77	$9.41
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $128.94 / $1,241.54	Facility		$31.35	$128.94	$1,241.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $22.19 / $25.85	Professional		$21.98	$22.19	$25.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $29.59 / $62.05	Facility		$13.23	$29.59	$62.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.03 / $19.62	Professional		$8.74	$11.03	$19.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $7.99 / $10.83	Professional		$6.23	$7.99	$10.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $13,785.00 / $13,785.00	Facility		$9.48	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $9.48 / $9.48	Professional		$9.48	$9.48	$9.48
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $8.11 / $14.62	Professional		$5.42	$8.11	$14.62