Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $56.23 / $194.98	Facility		$19.50	$56.23	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $46.77	Professional		$13.80	$16.60	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $18.62	Professional		$9.33	$11.22	$18.62
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $199.53 / $407.38	Facility		$18.62	$199.53	$407.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $30.90 / $41.69	Professional		$13.80	$30.90	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $40.74 / $85.11	Facility		$18.20	$40.74	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.91 / $28.84	Professional		$12.02	$22.91	$28.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $20.89	Professional		$7.41	$9.33	$20.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $10,471.29 / $25,118.86	Facility		$18.62	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.98 / $20.89	Professional		$16.22	$16.98	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $18.62 / $38.90	Facility		$8.71	$18.62	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $11.22 / $26.92	Professional		$7.24	$11.22	$26.92