Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $29.51 / $102.33	Facility		$10.23	$29.51	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $29.51	Professional		$7.08	$8.91	$29.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $7.24	Professional		$6.17	$6.17	$7.24
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $16.98	Professional		$7.76	$7.76	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $22.91 / $47.86	Facility		$10.00	$22.91	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $15.14	Professional		$6.76	$8.51	$15.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.13 / $11.75	Professional		$4.17	$5.13	$11.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10,471.29 / $25,118.86	Facility		$10.23	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.72 / $11.48	Professional		$9.12	$10.72	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $10.23 / $21.38	Facility		$4.90	$10.23	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.17 / $15.14	Professional		$4.17	$6.17	$15.14