Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $43.42 / $119.34	Facility		$13.26	$43.42	$119.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $10.13 / $41.24	Professional		$9.43	$10.13	$41.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $6.92	Professional		$5.50	$5.50	$6.92
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $119.77 / $2,511.90	Facility		$24.30	$119.77	$2,511.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $18.76 / $20.93	Professional		$8.65	$18.76	$20.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $25.26 / $52.83	Facility		$8.06	$25.26	$52.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $13.22 / $20.74	Professional		$7.54	$13.22	$20.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $6.80 / $9.52	Professional		$5.30	$6.80	$9.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $13,785.00 / $13,785.00	Facility		$8.07	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $8.07 / $10.56	Professional		$8.07	$8.07	$10.56
United Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $6.92 / $16.30	Professional		$4.61	$6.92	$16.30