Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.55 / $106.55 / $161.44	Facility		$106.55	$106.55	$161.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $110.31 / $206.06	Professional		$92.70	$110.31	$206.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.67 / $125.50 / $125.50	Professional		$111.67	$125.50	$125.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $177.27 / $710.10 / $1,364.20	Professional		$177.27	$710.10	$1,364.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.71 / $164.03 / $285.61	Professional		$98.71	$164.03	$285.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $171.94 / $458.33	Professional		$130.94	$171.94	$458.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.84 / $151.60 / $259.75	Professional		$114.84	$151.60	$259.75
United Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $161.00 / $258.83	Professional		$102.47	$161.00	$258.83