Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.10 / $105.04 / $164.62	Facility		$94.10	$105.04	$164.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.83 / $90.73 / $120.92	Professional		$72.83	$90.73	$120.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $104.64 / $104.64	Professional		$89.75	$104.64	$104.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $93.82 / $185.27	Professional		$68.06	$93.82	$185.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $147.55 / $165.61	Professional		$128.02	$147.55	$165.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.59 / $224.89 / $456.72	Facility		$216.59	$224.89	$456.72
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $91.11 / $154.11	Professional		$77.44	$91.11	$154.11
United Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $94.36 / $181.97	Professional		$74.98	$94.36	$181.97