Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $41.42 / $107.25	Facility		$15.27	$41.42	$107.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $12.67 / $17.41	Professional		$10.75	$12.67	$17.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $8.73 / $10.11	Professional		$4.37	$8.73	$10.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $154.74 / $742.35	Facility		$37.61	$154.74	$742.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $23.92 / $34.69	Professional		$10.91	$23.92	$34.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $31.76 / $66.67	Facility		$10.17	$31.76	$66.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $14.55 / $26.59	Professional		$9.50	$14.55	$26.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $8.58 / $14.18	Professional		$6.69	$8.58	$14.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $13,785.00 / $13,785.00	Facility		$10.19	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $13.97	Professional		$10.19	$10.19	$13.97
United Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $8.73 / $21.56	Professional		$5.63	$8.73	$21.56