Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $161.93 / $268.92	Professional		$112.50	$161.93	$268.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.96 / $114.46 / $145.27	Professional		$106.96	$114.46	$145.27
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $235.85 / $235.85 / $235.85	Professional		$235.85	$235.85	$235.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $206.72 / $373.48	Professional		$147.94	$206.72	$373.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $187.21 / $244.15	Professional		$127.02	$187.21	$244.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $185.78 / $330.50	Professional		$142.60	$185.78	$330.50
United Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $167.59 / $253.01	Professional		$114.04	$167.59	$253.01