Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.32 / $31.32 / $49.43	Facility	26	$31.32	$31.32	$49.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $49.33 / $84.10	Professional		$40.83	$49.33	$84.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $29.00 / $54.74	Professional	26	$24.90	$29.00	$54.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $53.62 / $53.62	Professional		$53.62	$53.62	$53.62
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $64.73 / $129.25	Professional		$21.80	$64.73	$129.25
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $25.71 / $42.16 / $73.06	Professional	26	$25.71	$42.16	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $75.31 / $141.87	Professional		$53.45	$75.31	$141.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $46.22 / $85.48	Professional	26	$32.11	$46.22	$85.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $77.75 / $92.16	Professional		$58.35	$77.75	$92.16
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.45 / $44.28 / $53.87	Professional	26	$34.45	$44.28	$53.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $40.69 / $68.59	Professional		$24.67	$40.69	$68.59
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.40 / $29.35 / $48.51	Professional	26	$23.40	$29.35	$48.51
United Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $49.96 / $96.26	Professional		$38.70	$49.96	$96.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.38 / $32.46 / $61.41	Professional	26	$22.38	$32.46	$61.41