Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.09 / $127.86 / $170.48	Facility		$111.09	$127.86	$170.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.62 / $127.51 / $183.94	Professional		$96.62	$127.51	$183.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.46 / $129.40 / $167.79	Professional		$99.46	$129.40	$167.79
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $137.22 / $137.22 / $137.22	Facility		$137.22	$137.22	$137.22
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $162.71 / $365.00	Professional		$103.02	$162.71	$365.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $128.00 / $222.48	Professional		$84.80	$128.00	$222.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $229.87 / $231.72	Professional		$65.00	$229.87	$231.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.62 / $390.62 / $390.62	Facility		$390.62	$390.62	$390.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.61 / $143.13 / $209.36	Professional		$109.61	$143.13	$209.36
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $133.71 / $248.37	Professional		$95.90	$133.71	$248.37