Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $117.49 / $165.96	Facility		$70.79	$117.49	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $281.84	Professional		$72.44	$123.03	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $128.82	Professional		$91.20	$109.65	$128.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $234.42	Professional		$123.03	$158.49	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $112.20 / $128.82	Facility		$109.65	$112.20	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $218.78	Professional		$77.62	$123.03	$218.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $229.09	Professional		$51.29	$75.86	$229.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $223.87	Professional		$102.33	$123.03	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $177.83	Professional		$72.44	$104.71	$177.83