Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.57 / $134.38 / $182.50	Facility		$118.57	$134.38	$182.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $172.67 / $239.77	Professional		$126.58	$172.67	$239.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.38 / $186.34 / $318.38	Professional		$177.38	$186.34	$318.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $308.47 / $783.25	Professional		$206.70	$308.47	$783.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $256.94 / $433.43	Professional		$148.49	$256.94	$433.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $172.65 / $259.74	Professional		$36.00	$172.65	$259.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.03 / $225.02 / $329.43	Professional		$169.03	$225.02	$329.43
United Facility/Professional Professional Modifier Low / Median / High Price $120.03 / $195.49 / $391.97	Professional		$120.03	$195.49	$391.97