Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $93.33 / $154.88	Facility		$70.79	$93.33	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $398.11	Professional		$81.28	$131.83	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $575.44	Professional		$120.23	$147.91	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $302.00	Professional		$91.20	$151.36	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $162.18	Professional		$72.44	$117.49	$162.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $208.93	Professional		$95.50	$131.83	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $134.90	Facility		$66.07	$66.07	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $204.17	Professional		$74.13	$112.20	$204.17