Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.01 / $75.01 / $148.54	Facility		$75.01	$75.01	$148.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $85.27 / $221.94	Professional		$73.77	$85.27	$221.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $81.92 / $86.47	Professional		$79.28	$81.92	$86.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $312.00 / $312.00	Facility		$312.00	$312.00	$312.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $88.59 / $137.26 / $206.10	Professional		$88.59	$137.26	$206.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $115.00 / $115.00	Facility		$115.00	$115.00	$115.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $104.47 / $184.23	Professional		$70.47	$104.47	$184.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.72 / $114.29 / $164.77	Professional		$85.72	$114.29	$164.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $997.07 / $997.07 / $1,035.26	Facility		$997.07	$997.07	$1,035.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $98.95 / $172.60	Professional		$69.23	$98.95	$172.60
United Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $88.06 / $159.56	Professional		$59.09	$88.06	$159.56