Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $33.11	Professional		$16.98	$22.91	$33.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $32.36 / $32.36 / $32.36	Professional	50	$32.36	$32.36	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $26.30	Professional		$24.55	$24.55	$26.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $131.83	Professional		$26.92	$36.31	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.92 / $54.95	Professional		$15.14	$26.92	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $38.02	Professional		$21.38	$30.20	$38.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $131.83	Facility		$117.49	$117.49	$131.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.11 / $67.61	Professional		$20.42	$33.11	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $35.48	Professional		$12.30	$16.98	$35.48