Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.88 / $21.88	Professional		$12.88	$21.88	$21.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $35.48	Professional		$22.91	$28.18	$35.48
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 / $10,471.29 / $25,703.96	Facility		$28.18	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $15.85	Professional		$10.47	$10.47	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.49 / $87.10	Facility		$8.32	$15.49	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.60 / $31.62	Professional		$10.72	$16.60	$31.62