Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $41.55 / $132.57	Facility		$13.07	$41.55	$132.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $12.63 / $13.22	Professional		$10.95	$12.63	$13.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $10.14 / $10.14	Professional		$8.76	$10.14	$10.14
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $182.05 / $5,132.85	Facility		$37.61	$182.05	$5,132.85
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $19.20 / $26.47	Professional		$10.95	$19.20	$26.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $32.47 / $66.90	Facility		$10.19	$32.47	$66.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $11.87 / $21.17	Professional		$9.36	$11.87	$21.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $8.02 / $11.68	Professional		$5.84	$8.02	$11.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $8,702.00 / $13,785.00	Facility		$10.22	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.22 / $13.42	Professional		$10.22	$10.22	$13.42
United Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $8.76 / $20.39	Professional		$5.84	$8.76	$20.39