Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $62.49 / $170.38	Facility		$27.17	$62.49	$170.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $24.20 / $24.63	Professional		$21.02	$24.20	$24.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $18.87	Professional		$16.30	$16.30	$18.87
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $287.08 / $1,760.66	Facility		$69.80	$287.08	$1,760.66
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $44.36 / $49.27	Professional		$20.38	$44.36	$49.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $59.90 / $124.50	Facility		$18.98	$59.90	$124.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $22.26 / $39.24	Professional		$17.48	$22.26	$39.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $16.03 / $27.17	Professional		$12.50	$16.03	$27.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $13,785.00 / $13,785.00	Facility		$19.02	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $19.02 / $24.97	Professional		$19.02	$19.02	$24.97
United Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $14.94 / $14.94	Facility		$14.94	$14.94	$14.94
United Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $16.30 / $37.95	Professional		$11.41	$16.30	$37.95