Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $31.03 / $90.83	Facility		$7.50	$31.03	$90.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $8.68 / $8.78	Professional		$7.50	$8.68	$8.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $5.82 / $6.73	Professional		$5.82	$5.82	$6.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $125.10 / $125.10 / $125.10	Facility		$125.10	$125.10	$125.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $15.03 / $17.59	Professional		$7.28	$15.03	$17.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $21.65 / $44.45	Facility		$6.77	$21.65	$44.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $7.85 / $13.94	Professional		$6.20	$7.85	$13.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.72 / $9.69	Professional		$4.46	$5.72	$9.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.79 / $13,785.00 / $13,785.00	Facility		$6.79	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $6.79 / $9.31	Professional		$6.79	$6.79	$9.31
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.82 / $13.55	Professional		$4.07	$5.82	$13.55