Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $17.38 / $74.13	Facility		$5.89	$17.38	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.57 / $14.79	Professional		$3.89	$4.57	$14.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.09 / $5.13	Professional		$2.57	$3.09	$5.13
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $83.18 / $109.65	Facility		$13.80	$83.18	$109.65
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $8.32 / $13.49	Professional		$3.89	$8.32	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $11.48 / $23.99	Facility		$5.13	$11.48	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.13 / $7.76	Professional		$3.39	$5.13	$7.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.57 / $5.89	Professional		$2.04	$2.57	$5.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $10,471.29 / $25,118.86	Facility		$5.13	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.68 / $5.75	Professional		$4.57	$4.68	$5.75
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $5.13 / $10.72	Facility		$2.45	$5.13	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.09 / $7.59	Professional		$2.04	$3.09	$7.59