Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $36.31 / $134.90	Facility		$18.20	$36.31	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $39.81 / $64.57	Professional		$19.95	$39.81	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $38.02 / $42.66	Professional		$21.38	$38.02	$42.66
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $89.13	Professional		$41.69	$51.29	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $70.79	Professional		$30.20	$47.86	$70.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $87.10	Professional		$67.61	$72.44	$87.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $331.13 / $660.69	Facility		$263.03	$331.13	$660.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $89.13	Professional		$34.67	$56.23	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $54.95 / $104.71	Facility		$37.15	$54.95	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $43.65 / $77.62	Professional		$20.42	$43.65	$77.62