Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.47 / $102.47 / $155.10	Facility		$102.47	$102.47	$155.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $104.54 / $197.27	Professional		$88.68	$104.54	$197.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $120.92 / $190.11	Professional		$107.55	$120.92	$190.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $123.70 / $765.75	Professional		$123.70	$123.70	$765.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.94 / $157.06 / $293.01	Professional		$94.94	$157.06	$293.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.34 / $165.66 / $442.19	Professional		$126.34	$165.66	$442.19
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.59 / $143.72 / $256.27	Professional		$110.59	$143.72	$256.27
United Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $151.72 / $249.34	Professional		$98.61	$151.72	$249.34