Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.40 / $235.50 / $792.06	Facility		$97.40	$235.50	$792.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $110.27 / $301.43	Professional		$84.43	$110.27	$301.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $123.47 / $245.00	Professional		$61.96	$123.47	$245.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.22 / $296.27 / $399.31	Facility		$249.22	$296.27	$399.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $174.19 / $302.66	Professional		$100.46	$174.19	$302.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.57 / $175.08 / $300.52	Professional		$125.57	$175.08	$300.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.75 / $174.22 / $214.08	Facility		$172.75	$174.22	$214.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $113.27 / $169.86	Professional		$88.28	$113.27	$169.86
United Facility/Professional Facility Modifier Low / Median / High Price $116.42 / $132.18 / $202.25	Facility		$116.42	$132.18	$202.25
United Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $138.10 / $252.05	Professional		$89.82	$138.10	$252.05