Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $60.88 / $149.77	Facility		$14.98	$60.88	$149.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $16.88 / $33.74	Professional		$14.51	$16.88	$33.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $13.45 / $13.45	Professional		$13.45	$13.45	$13.45
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $51.03 / $199.20 / $1,233.35	Facility		$51.03	$199.20	$1,233.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $31.57 / $41.11	Professional		$14.51	$31.57	$41.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $42.58 / $88.67	Facility		$13.52	$42.58	$88.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $15.90 / $27.88	Professional		$12.39	$15.90	$27.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $11.42 / $19.35	Professional		$8.90	$11.42	$19.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $8,702.00 / $13,785.00	Facility		$13.55	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $13.55 / $18.59	Professional		$13.55	$13.55	$18.59
United Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $10.64 / $22.00	Facility		$10.64	$10.64	$22.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.61 / $27.05	Professional		$8.13	$11.61	$27.05