Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $45.83 / $167.24	Facility		$12.76	$45.83	$167.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $11.40 / $12.76	Professional		$9.48	$11.40	$12.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $7.66 / $8.86	Professional		$6.08	$7.66	$8.86
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $132.22 / $686.59	Facility		$34.68	$132.22	$686.59
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $23.16 / $31.07	Professional		$9.57	$23.16	$31.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $28.15 / $58.47	Facility		$8.92	$28.15	$58.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.39 / $18.07	Professional		$8.26	$10.39	$18.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $7.53 / $12.63	Professional		$5.87	$7.53	$12.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $13,785.00 / $13,785.00	Facility		$8.93	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $8.93 / $11.73	Professional		$8.93	$8.93	$11.73
United Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $7.66 / $14.46	Professional		$4.94	$7.66	$14.46