Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $80.23 / $94.39	Facility		$66.09	$80.23	$94.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $80.70 / $109.78	Professional		$65.92	$80.70	$109.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.88 / $79.88 / $81.27	Professional		$79.88	$79.88	$81.27
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $70.72 / $90.02 / $1,316.05	Professional		$70.72	$90.02	$1,316.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $91.00 / $150.25	Professional		$65.00	$91.00	$150.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $123.33 / $138.36	Professional		$81.20	$123.33	$138.36
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $85.32 / $149.21	Professional		$62.74	$85.32	$149.21
United Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $95.43 / $173.59	Professional		$69.64	$95.43	$173.59