Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $60.55 / $204.48	Facility		$13.05	$60.55	$204.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $15.18 / $19.71	Professional		$12.54	$15.18	$19.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $10.75 / $11.71	Professional		$8.96	$10.75	$11.71
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $48.71 / $185.30 / $1,275.91	Facility		$48.71	$185.30	$1,275.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $28.17 / $30.60	Professional		$13.44	$28.17	$30.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $39.70 / $82.12	Facility		$12.53	$39.70	$82.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.78 / $25.81	Professional		$10.80	$13.78	$25.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $10.57 / $17.92	Professional		$8.24	$10.57	$17.92
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $13,785.00 / $13,785.00	Facility		$12.54	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $12.54 / $15.50	Professional		$12.54	$12.54	$15.50
United Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $9.86 / $19.00	Facility		$9.86	$9.86	$19.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $10.75 / $24.99	Professional		$7.17	$10.75	$24.99