Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.81 / $75.81 / $80.90	Facility	26	$75.81	$75.81	$80.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $164.26 / $229.20	Professional		$141.51	$164.26	$229.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.79 / $68.56 / $101.81	Professional	26	$58.79	$68.56	$101.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.33 / $144.93 / $155.79	Professional		$139.33	$144.93	$155.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.47 / $89.47 / $123.47	Professional	26	$89.47	$89.47	$123.47
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $176.41 / $176.41 / $176.41	Professional		$176.41	$176.41	$176.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $213.05 / $367.52	Professional		$160.13	$213.05	$367.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.28 / $89.13 / $149.80	Professional	26	$68.28	$89.13	$149.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $216.20 / $306.57	Professional		$159.49	$216.20	$306.57
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.94 / $89.39 / $126.76	Professional	26	$65.94	$89.39	$126.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $147.65 / $243.23	Professional		$105.12	$147.65	$243.23
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.56 / $68.37 / $175.29	Professional	26	$54.56	$68.37	$175.29
United Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $162.40 / $314.49	Professional		$114.24	$162.40	$314.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.68 / $71.81 / $130.43	Professional	26	$49.68	$71.81	$130.43