Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $59.25 / $99.82	Professional		$35.81	$59.25	$99.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $80.54 / $80.54 / $80.54	Professional	25	$80.54	$80.54	$80.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $91.99 / $96.59	Professional		$78.81	$91.99	$96.59
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $84.52 / $84.52 / $84.52	Professional	25	$84.52	$84.52	$84.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $113.08 / $152.51	Professional		$76.76	$113.08	$152.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $65.00 / $164.26	Professional		$31.17	$65.00	$164.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $76.09 / $126.03	Professional		$55.00	$76.09	$126.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $72.75 / $123.68	Professional		$61.84	$72.75	$123.68
United Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $57.97 / $130.94	Professional		$41.92	$57.97	$130.94