Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $933.25 / $1,412.54	Facility	26	$257.04	$933.25	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,445.44	Professional		$478.63	$616.60	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $199.53 / $467.74	Professional	26	$165.96	$199.53	$467.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	26	$173.78	$173.78	$173.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,412.54	Professional		$524.81	$776.25	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $245.47 / $436.52	Professional	26	$169.82	$245.47	$436.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $870.96	Professional		$724.44	$831.76	$870.96
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $234.42 / $263.03 / $275.42	Professional	26	$234.42	$263.03	$275.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,202.26	Professional		$524.81	$707.95	$1,202.26
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $223.87 / $416.87	Professional	26	$165.96	$223.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,258.93	Professional		$467.74	$676.08	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $218.78 / $398.11	Professional	26	$151.36	$218.78	$398.11