Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.30 / $97.04 / $242.70	Facility		$85.30	$97.04	$242.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $94.66 / $127.31	Professional		$75.86	$94.66	$127.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $77.45 / $96.48	Professional		$70.91	$77.45	$96.48
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $97.99 / $118.14 / $259.26	Professional		$97.99	$118.14	$259.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.22 / $105.22 / $114.85	Facility		$105.22	$105.22	$114.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $104.00 / $175.31	Professional		$71.00	$104.00	$175.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $151.66 / $152.80	Professional		$65.00	$151.66	$152.80
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 $82.14 / $115.02 / $166.19	Professional		$82.14	$115.02	$166.19
United Facility/Professional Facility Modifier Low / Median / High Price $96.36 / $96.36 / $107.92	Facility		$96.36	$96.36	$107.92
United Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $104.01 / $189.28	Professional		$73.31	$104.01	$189.28