Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.90 / $73.90 / $240.70	Facility	26	$73.90	$73.90	$240.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $177.18 / $332.38	Professional		$141.51	$177.18	$332.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.90 / $87.23 / $175.20	Professional	26	$73.90	$87.23	$175.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.78 / $272.62 / $311.57	Professional		$126.78	$272.62	$311.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.99 / $146.46 / $154.69	Professional	26	$85.99	$146.46	$154.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $201.32 / $568.47	Professional		$97.69	$201.32	$568.47
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $94.40 / $177.43 / $268.14	Professional	26	$94.40	$177.43	$268.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $253.35 / $452.90	Professional		$148.16	$253.35	$452.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.59 / $121.38 / $203.52	Professional	26	$65.59	$121.38	$203.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.81 / $243.41 / $521.50	Professional		$199.81	$243.41	$521.50
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $96.26 / $118.00 / $251.24	Professional	26	$96.26	$118.00	$251.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $161.31 / $259.64	Professional		$104.78	$161.31	$259.64
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.51 / $91.03 / $154.80	Professional	26	$75.51	$91.03	$154.80
United Facility/Professional Professional Modifier Low / Median / High Price $135.35 / $207.83 / $337.50	Professional		$135.35	$207.83	$337.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.20 / $100.67 / $173.47	Professional	26	$65.20	$100.67	$173.47