Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $28.25 / $105.77	Facility		$12.39	$28.25	$105.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $11.23 / $22.46	Professional		$9.59	$11.23	$22.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $8.60 / $8.60	Professional		$8.60	$8.60	$8.60
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $99.20 / $99.20 / $99.20	Facility		$99.20	$99.20	$99.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $17.98 / $49.00	Professional		$9.28	$17.98	$49.00
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 $4.96 / $6.81 / $9.91	Professional		$4.96	$6.81	$9.91
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 / $11.38	Professional		$8.67	$8.67	$11.38
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 / $17.32	Professional		$5.20	$7.43	$17.32