Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $29.16	Facility		$19.00	$19.00	$29.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $19.57 / $28.75	Professional		$18.76	$19.57	$28.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $23.85 / $24.88	Professional		$23.85	$23.85	$24.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $57.95 / $57.95	Professional		$57.95	$57.95	$57.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $23.42 / $30.01	Professional		$20.00	$23.42	$30.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $51.05	Professional		$40.00	$45.00	$51.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.42 / $72.42 / $72.42	Facility		$72.42	$72.42	$72.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $30.61 / $49.00	Professional		$24.91	$30.61	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $38.04 / $75.02	Professional		$24.58	$38.04	$75.02