Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $27.02 / $97.73	Facility		$7.44	$27.02	$97.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $5.25 / $6.47	Professional		$4.78	$5.25	$6.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $3.88 / $4.49	Professional		$1.94	$3.88	$4.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $79.84 / $827.24	Facility		$17.59	$79.84	$827.24
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $8.73 / $12.24	Professional		$3.56	$8.73	$12.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $14.43 / $29.65	Facility		$4.51	$14.43	$29.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $7.43 / $14.35	Professional		$4.23	$7.43	$14.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.56 / $6.66	Professional		$2.98	$3.56	$6.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $13,785.00 / $13,785.00	Facility		$4.53	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $4.53 / $6.21	Professional		$4.53	$4.53	$6.21
United Facility/Professional Facility Modifier Low / Median / High Price $3.56 / $3.56 / $3.56	Facility		$3.56	$3.56	$3.56
United Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.88 / $9.58	Professional		$2.50	$3.88	$9.58