Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $181.97	Facility		$79.43	$131.83	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $380.19	Professional		$87.10	$154.88	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $177.83	Professional		$102.33	$125.89	$177.83
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $281.84	Professional		$134.90	$173.78	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $120.23 / $144.54	Facility		$91.20	$120.23	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $239.88	Professional		$87.10	$138.04	$239.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $239.88	Professional		$57.54	$85.11	$239.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $245.47	Professional		$125.89	$147.91	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $194.98	Professional		$81.28	$117.49	$194.98