Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.74 / $146.37 / $344.11	Facility		$53.74	$146.37	$344.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.03 / $132.32 / $190.54	Professional		$107.03	$132.32	$190.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $108.42 / $198.75	Professional		$85.00	$108.42	$198.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $155.24 / $192.32	Facility		$74.52	$155.24	$192.32
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $156.00 / $309.45	Professional		$60.00	$156.00	$309.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.44 / $276.39 / $525.63	Facility		$180.44	$276.39	$525.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $180.53 / $325.33	Professional		$113.32	$180.53	$325.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $159.82 / $220.71	Professional		$141.69	$159.82	$220.71
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $142.78 / $245.35	Professional		$121.36	$142.78	$245.35
United Facility/Professional Facility Modifier Low / Median / High Price $180.81 / $180.81 / $180.81	Facility		$180.81	$180.81	$180.81
United Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $177.05 / $303.95	Professional		$109.56	$177.05	$303.95