Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.62 / $91.38 / $107.51	Facility		$80.62	$91.38	$107.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $123.21 / $164.80	Professional		$85.96	$123.21	$164.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $182.84 / $238.82	Professional		$125.94	$182.84	$238.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $137.01 / $209.48 / $443.22	Professional		$137.01	$209.48	$443.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $178.81 / $276.68	Professional		$106.35	$178.81	$276.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $129.88 / $195.40	Professional		$36.00	$129.88	$195.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.49 / $157.65 / $224.21	Professional		$127.49	$157.65	$224.21
United Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $135.56 / $257.33	Professional		$90.00	$135.56	$257.33