Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $66.07 / $218.78	Facility		$19.50	$66.07	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $57.54	Professional		$12.02	$14.79	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.22 / $13.80	Professional		$8.13	$11.22	$13.80
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $114.82 / $169.82	Facility		$85.11	$114.82	$169.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $26.92 / $29.51	Professional		$12.30	$26.92	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $36.31 / $74.13	Facility		$15.85	$36.31	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.85 / $24.55	Professional		$10.72	$15.85	$24.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.13 / $18.62	Professional		$6.46	$8.13	$18.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $10,471.29 / $25,118.86	Facility		$16.22	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $18.20	Professional		$14.45	$15.14	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $16.22 / $33.88	Facility		$7.59	$16.22	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.77 / $23.99	Professional		$6.46	$9.77	$23.99