Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $32.36 / $97.72	Facility		$9.55	$32.36	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.94 / $18.20	Professional		$6.31	$7.94	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.37 / $6.31	Professional		$4.27	$5.37	$6.31
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $128.82 / $275.42	Facility		$79.43	$128.82	$275.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $14.79 / $16.22	Professional		$6.76	$14.79	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $20.42 / $41.69	Facility		$8.71	$20.42	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.71 / $13.80	Professional		$5.01	$8.71	$13.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.47 / $10.23	Professional		$3.63	$4.47	$10.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10,471.29 / $25,118.86	Facility		$9.12	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.32 / $10.00	Professional		$7.94	$8.32	$10.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $9.12 / $18.62	Facility		$4.27	$9.12	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.37 / $13.18	Professional		$3.63	$5.37	$13.18