Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.16 / $113.72 / $176.84	Facility		$79.16	$113.72	$176.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $108.40 / $208.60	Professional		$74.06	$108.40	$208.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $140.55 / $245.96	Professional		$121.47	$140.55	$245.96
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $250.25 / $250.25 / $250.25	Facility		$250.25	$250.25	$250.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $110.28 / $157.69 / $264.10	Professional		$110.28	$157.69	$264.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $119.18 / $125.60	Facility		$86.00	$119.18	$125.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $145.16 / $233.98	Professional		$81.84	$145.16	$233.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $113.55 / $214.62	Professional		$57.80	$113.55	$214.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $154.22 / $224.41	Professional		$124.67	$154.22	$224.41
United Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $140.55 / $265.81	Professional		$96.26	$140.55	$265.81