Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $363.08 / $371.54	Facility		$223.87	$363.08	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $426.58	Professional		$181.97	$213.80	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $208.93	Professional		$199.53	$199.53	$208.93
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $1,258.93	Professional		$218.78	$218.78	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $501.19	Professional		$162.18	$295.12	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $436.52	Professional		$331.13	$363.08	$436.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $512.86	Professional		$158.49	$213.80	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $398.11	Professional		$144.54	$218.78	$398.11