Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $33.53 / $95.90	Facility		$13.41	$33.53	$95.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $16.09 / $16.64	Professional		$13.41	$16.09	$16.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $8.57 / $8.57	Professional		$8.57	$8.57	$8.57
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $797.04 / $797.04 / $797.04	Facility		$797.04	$797.04	$797.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $33.99 / $75.93	Professional		$13.49	$33.99	$75.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $39.50 / $82.39	Facility		$12.57	$39.50	$82.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $13.82 / $21.07	Professional		$11.60	$13.82	$21.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $9.89 / $14.38	Professional		$7.19	$9.89	$14.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13,785.00 / $13,785.00	Facility		$12.59	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $16.52	Professional		$12.59	$12.59	$16.52
United Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $9.89 / $9.89	Facility		$9.89	$9.89	$9.89
United Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $10.79 / $20.37	Professional		$6.96	$10.79	$20.37