Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $34.93 / $169.69	Facility		$14.81	$34.93	$169.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $23.75 / $25.34	Professional		$15.23	$23.75	$25.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $16.76	Professional		$16.76	$16.76	$16.76
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $50.67 / $52.18	Professional		$50.67	$50.67	$52.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $55.88 / $128.03	Facility		$19.52	$55.88	$128.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $16.96 / $31.80	Professional		$13.41	$16.96	$31.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $15.37 / $22.35	Professional		$11.18	$15.37	$22.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $27.94 / $8,702.00	Facility		$27.94	$27.94	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $25.67	Professional		$18.16	$18.16	$25.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $16.76 / $28.64	Professional		$9.77	$16.76	$28.64