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 $7.59 / $21.88 / $21.88	Professional		$7.59	$21.88	$21.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $22.39	Professional		$7.94	$7.94	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.91 / $28.84	Professional		$22.39	$22.91	$28.84
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 / $9,332.54 / $25,703.96	Facility		$28.18	$9,332.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $14.79	Professional		$7.94	$9.77	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.49 / $66.07	Facility		$8.32	$15.49	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.49 / $25.70	Professional		$10.72	$15.49	$25.70