Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.69 / $456.74 / $1,798.67	Facility		$180.69	$456.74	$1,798.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.12 / $180.69 / $305.12	Professional		$155.12	$180.69	$305.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $264.12 / $331.62	Professional		$145.58	$264.12	$331.62
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $201.96 / $318.27 / $864.00	Professional		$201.96	$318.27	$864.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.13 / $1,260.13 / $1,260.13	Facility		$1,260.13	$1,260.13	$1,260.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $231.17 / $409.99	Professional		$155.84	$231.17	$409.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.01 / $259.08 / $259.08	Professional		$223.01	$259.08	$259.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.12 / $205.01 / $315.66	Professional		$158.12	$205.01	$315.66
United Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $214.65 / $361.98	Professional		$140.38	$214.65	$361.98