Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $45.90 / $291.33	Facility		$13.73	$45.90	$291.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $12.27 / $13.73	Professional		$10.62	$12.27	$13.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $9.53 / $9.53	Professional		$8.24	$9.53	$9.53
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $128.94 / $996.14	Facility		$30.78	$128.94	$996.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $21.71 / $28.45	Professional		$21.71	$21.71	$28.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $30.31 / $62.92	Facility		$13.42	$30.31	$62.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.24 / $19.62	Professional		$8.74	$11.24	$19.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $8.10 / $10.98	Professional		$6.32	$8.10	$10.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $8,702.00 / $13,785.00	Facility		$9.61	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $12.62	Professional		$9.61	$9.61	$12.62
United Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $8.24 / $20.35	Professional		$5.49	$8.24	$20.35