Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.20 / $174.31 / $174.31	Facility		$172.20	$174.31	$174.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $157.84 / $218.88	Professional		$131.28	$157.84	$218.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $142.19 / $208.36	Professional		$142.19	$142.19	$208.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $165.33 / $165.33 / $165.33	Professional		$165.33	$165.33	$165.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.76 / $214.78 / $375.67	Professional		$114.76	$214.78	$375.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.98 / $237.83 / $311.23	Professional		$184.98	$237.83	$311.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.94 / $164.81 / $268.98	Professional		$117.94	$164.81	$268.98
United Facility/Professional Professional Modifier Low / Median / High Price $120.87 / $164.21 / $303.79	Professional		$120.87	$164.21	$303.79