Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.59 / $127.59 / $190.06	Facility		$127.59	$127.59	$190.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.41 / $127.59 / $232.07	Professional		$110.41	$127.59	$232.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $147.69 / $147.69	Professional		$147.69	$147.69	$147.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $730.60 / $828.00 / $1,763.20	Professional		$730.60	$828.00	$1,763.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $193.60 / $329.13	Professional		$116.49	$193.60	$329.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $202.35 / $372.20	Professional		$139.00	$202.35	$372.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,590.92 / $1,590.92 / $3,231.09	Facility		$1,590.92	$1,590.92	$3,231.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $178.95 / $314.82	Professional		$135.85	$178.95	$314.82
United Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $185.33 / $306.23	Professional		$119.24	$185.33	$306.23