Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $229.09 / $380.19	Professional		$104.71	$229.09	$380.19
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $933.25	Professional		$162.18	$302.00	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $10,471.29 / $16,218.10	Facility		$3,019.95	$10,471.29	$16,218.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $676.08	Professional		$281.84	$331.13	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $812.83	Facility		$371.54	$371.54	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $691.83	Professional		$199.53	$389.05	$691.83