Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $113.06 / $185.94	Professional		$68.00	$113.06	$185.94
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $127.51 / $138.82 / $167.22	Professional	25	$127.51	$138.82	$167.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.83 / $154.31 / $169.07	Professional		$136.83	$154.31	$169.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $185.17 / $284.45	Professional		$129.66	$185.17	$284.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $123.62 / $299.27	Professional		$61.99	$123.62	$299.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $131.12 / $220.60	Professional		$70.00	$131.12	$220.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.85 / $252.85 / $283.51	Facility		$252.85	$252.85	$283.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.32 / $135.83 / $219.79	Professional		$109.32	$135.83	$219.79
United Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $93.79 / $225.13	Professional		$54.79	$93.79	$225.13