Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $26.92	Professional		$19.05	$26.92	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $21.88	Professional		$17.38	$21.88	$21.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $24.55 / $38.90	Professional		$3.39	$24.55	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $25.12	Professional		$19.50	$22.91	$25.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $9,772.37 / $25,703.96	Facility		$28.18	$9,772.37	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $12.02 / $14.79	Professional		$6.92	$12.02	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.49 / $67.61	Facility		$8.32	$15.49	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.49 / $26.92	Professional		$10.72	$15.49	$26.92