Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.13 / $89.13	Professional		$12.59	$14.13	$89.13
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $72.44	Professional		$28.18	$41.69	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $21.38	Professional		$16.98	$16.98	$21.38
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 Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $52.48 / $52.48	Facility		$14.45	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $16.22	Professional		$11.48	$11.48	$16.22