Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $39.81 / $138.04	Facility		$15.49	$39.81	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $33.88	Professional		$9.55	$12.02	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.13 / $13.49	Professional		$5.75	$8.13	$13.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $151.36 / $229.09	Facility		$36.31	$151.36	$229.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.96 / $24.55	Professional		$10.23	$10.96	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $30.20 / $63.10	Facility		$13.18	$30.20	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $20.42	Professional		$8.91	$13.80	$20.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.59 / $15.49	Professional		$5.50	$7.59	$15.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $10,471.29 / $25,118.86	Facility		$13.49	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.59 / $15.14	Professional		$12.02	$12.59	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $13.49 / $28.18	Facility		$6.46	$13.49	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.13 / $19.95	Professional		$5.50	$8.13	$19.95