Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.02 / $113.36 / $141.28	Facility		$85.02	$113.36	$141.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.56 / $116.47 / $154.44	Professional		$89.56	$116.47	$154.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $122.81 / $132.81	Professional		$101.72	$122.81	$132.81
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $139.76 / $313.25	Professional		$106.28	$139.76	$313.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $134.00 / $208.81	Professional		$95.98	$134.00	$208.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $188.13 / $210.73	Professional		$150.00	$188.13	$210.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $828.02 / $956.63 / $993.27	Facility		$828.02	$956.63	$993.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $131.30 / $218.95	Professional		$92.06	$131.30	$218.95
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $144.41 / $284.82	Professional		$102.94	$144.41	$284.82