Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $56.23 / $288.40	Facility		$15.49	$56.23	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.60 / $43.65	Professional		$8.91	$16.60	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $8.32	Professional		$7.24	$7.24	$8.32
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $144.54	Facility		$75.86	$75.86	$144.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.95 / $28.84	Professional		$8.91	$19.95	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $26.92 / $54.95	Facility		$11.75	$26.92	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.48 / $16.98	Professional		$7.76	$11.48	$16.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.03 / $13.49	Professional		$4.79	$6.03	$13.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $10,471.29 / $25,118.86	Facility		$12.02	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.96 / $13.49	Professional		$10.47	$10.96	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.02 / $24.55	Facility		$5.62	$12.02	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.24 / $17.38	Professional		$4.79	$7.24	$17.38