Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $41.42 / $127.26	Facility		$12.39	$41.42	$127.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $11.07 / $12.39	Professional		$9.28	$11.07	$12.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $7.43 / $8.60	Professional		$3.72	$7.43	$8.60
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $116.06 / $1,311.21	Facility		$28.22	$116.06	$1,311.21
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $20.55 / $26.31	Professional		$9.28	$20.55	$26.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $27.43 / $56.78	Facility		$8.66	$27.43	$56.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.18 / $17.55	Professional		$7.94	$10.18	$17.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $7.31 / $10.10	Professional		$5.70	$7.31	$10.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $8,702.00 / $13,785.00	Facility		$8.67	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $8.67 / $11.25	Professional		$8.67	$8.67	$11.25
United Facility/Professional Facility Modifier Low / Median / High Price $6.81 / $6.81 / $6.81	Facility		$6.81	$6.81	$6.81
United Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.43 / $17.84	Professional		$5.20	$7.43	$17.84