Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $75.00 / $131.01	Professional		$41.00	$75.00	$131.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $64.94 / $81.36	Professional		$60.85	$64.94	$81.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $102.08 / $198.81	Professional		$76.80	$102.08	$198.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $102.88 / $194.43	Professional		$67.97	$102.88	$194.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $105.22 / $191.79	Professional		$79.58	$105.22	$191.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $98.92 / $154.75	Professional		$77.67	$98.92	$154.75
United Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $86.47 / $141.09	Professional		$53.76	$86.47	$141.09