Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $14.61 / $19.82	Professional		$11.28	$14.61	$19.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $16.48 / $27.02	Professional		$15.33	$16.48	$27.02
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $20.95 / $34.29	Professional		$15.52	$20.95	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $16.46 / $32.18	Professional		$9.44	$16.46	$32.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $17.80 / $22.59	Professional		$17.48	$17.80	$22.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.54 / $116.54 / $130.66	Facility		$116.54	$116.54	$130.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $15.20 / $25.00	Professional		$12.92	$15.20	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $11.66 / $24.14	Professional		$8.53	$11.66	$24.14