Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.32 / $42.00 / $256.63	Facility		$9.32	$42.00	$256.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $6.60 / $8.94	Professional		$5.44	$6.60	$8.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $3.89 / $5.39	Professional		$2.33	$3.89	$5.39
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $111.20 / $411.28	Facility		$24.75	$111.20	$411.28
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $12.00 / $28.50	Professional		$5.83	$12.00	$28.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $17.32 / $35.60	Facility		$5.43	$17.32	$35.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $9.03 / $17.54	Professional		$5.08	$9.03	$17.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $4.58 / $8.77	Professional		$3.20	$4.58	$8.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.44 / $13,785.00 / $13,785.00	Facility		$5.44	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $5.44 / $7.14	Professional		$5.44	$5.44	$7.14
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.66 / $11.63	Professional		$3.11	$4.66	$11.63