Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $45.91 / $99.07	Facility		$15.79	$45.91	$99.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $6.32	Professional		$1.75	$1.75	$6.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $1.68	Professional		$1.40	$1.40	$1.68
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $124.50 / $622.50	Facility		$7.14	$124.50	$622.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $3.34 / $4.22	Facility		$1.75	$3.34	$4.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.82	Professional		$1.75	$1.75	$1.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.90 / $2.63	Professional		$1.82	$1.90	$2.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.64 / $2.34	Professional		$1.40	$1.64	$2.34
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.85 / $32.00	Professional		$1.75	$1.85	$32.00