Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $63.10 / $208.93	Facility		$19.50	$63.10	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $22.91	Professional		$13.80	$17.38	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.72 / $13.49	Professional		$9.77	$10.72	$13.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $32.36 / $194.98	Professional		$14.79	$32.36	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $43.65 / $89.13	Facility		$19.05	$43.65	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $28.18	Professional		$13.49	$20.89	$28.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $22.39	Professional		$7.76	$9.77	$22.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $10,471.29 / $25,118.86	Facility		$19.50	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.78 / $21.88	Professional		$13.80	$17.78	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $19.50 / $40.74	Facility		$9.33	$19.50	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.75 / $28.84	Professional		$7.76	$11.75	$28.84