Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $162.06 / $307.50	Facility		$115.00	$162.06	$307.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $143.33 / $203.00	Professional		$109.51	$143.33	$203.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.65 / $136.31 / $181.75	Professional		$95.65	$136.31	$181.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $151.99 / $151.99 / $431.25	Facility		$151.99	$151.99	$431.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $119.12 / $187.62 / $463.61	Professional		$119.12	$187.62	$463.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $149.00 / $253.03	Professional		$104.29	$149.00	$253.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $249.00 / $251.60	Professional		$79.00	$249.00	$251.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.22 / $315.22 / $390.62	Facility		$315.22	$315.22	$390.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.02 / $148.56 / $222.30	Professional		$113.02	$148.56	$222.30
United Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $153.09 / $255.88	Professional		$108.81	$153.09	$255.88