Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $53.70	Professional		$18.62	$23.99	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $63.10	Professional		$25.12	$30.20	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.70 / $45.71	Professional		$13.18	$25.70	$45.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $37.15	Professional		$18.20	$28.84	$37.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $16,218.10 / $19,498.45	Facility		$1,096.48	$16,218.10	$19,498.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $29.51 / $58.88	Professional		$17.78	$29.51	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.95 / $37.15	Professional		$11.75	$19.95	$37.15