Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $36.20 / $162.91	Facility		$15.32	$36.20	$162.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $13.79 / $27.38	Professional		$11.86	$13.79	$27.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $9.19 / $10.65	Professional		$7.31	$9.19	$10.65
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $184.60 / $1,909.14	Facility		$41.64	$184.60	$1,909.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $11.49 / $28.97	Professional		$6.40	$11.49	$28.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $33.92 / $70.20	Facility		$10.70	$33.92	$70.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $12.51 / $21.68	Professional		$9.85	$12.51	$21.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $9.03 / $15.32	Professional		$7.05	$9.03	$15.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13,785.00 / $13,785.00	Facility		$10.72	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $14.71	Professional		$10.72	$10.72	$14.71
United Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $8.43 / $8.43	Facility		$8.43	$8.43	$8.43
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $9.19 / $22.70	Professional		$6.43	$9.19	$22.70