Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $164.40 / $268.19	Professional		$114.87	$164.40	$268.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.27 / $138.63 / $210.18	Professional		$113.27	$138.63	$210.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $217.59 / $444.37	Professional		$144.50	$217.59	$444.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.88 / $198.85 / $373.63	Professional		$149.88	$198.85	$373.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $189.94 / $604.50	Professional		$143.38	$189.94	$604.50
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.28 / $184.05 / $312.17	Professional		$142.28	$184.05	$312.17
United Facility/Professional Professional Modifier Low / Median / High Price $113.26 / $163.93 / $252.45	Professional		$113.26	$163.93	$252.45