Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $24.80 / $86.00	Facility		$5.17	$24.80	$86.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.53 / $4.29	Professional		$3.00	$3.53	$4.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $2.57 / $2.73	Professional		$1.87	$2.57	$2.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $72.00 / $100.00	Facility		$29.75	$72.00	$100.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $6.52 / $9.28	Professional		$2.36	$6.52	$9.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $9.38 / $19.66	Facility		$3.00	$9.38	$19.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.68 / $6.91	Professional		$2.56	$4.68	$6.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $2.52 / $4.44	Professional		$1.97	$2.52	$4.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $13,785.00 / $13,785.00	Facility		$3.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.77	Professional		$3.00	$3.00	$3.77
United Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $2.79 / $5.49	Professional		$1.80	$2.79	$5.49