Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $691.83	Professional		$117.49	$223.87	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $162.18	Professional		$100.00	$120.23	$162.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $812.83	Professional		$158.49	$169.82	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $371.54	Professional		$141.25	$204.17	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $275.42	Professional		$144.54	$190.55	$275.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $338.84	Professional		$141.25	$186.21	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $239.88	Professional		$107.15	$158.49	$239.88