Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.74 / $86.13 / $114.84	Facility		$52.74	$86.13	$114.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $104.78 / $141.31	Professional		$68.34	$104.78	$141.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $143.33 / $143.33	Professional		$143.33	$143.33	$143.33
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $166.18 / $457.67	Professional		$131.76	$166.18	$457.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $140.32 / $260.73	Professional		$78.09	$140.32	$260.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.71 / $203.76 / $227.32	Professional		$175.71	$203.76	$227.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.48 / $181.48 / $224.89	Facility		$181.48	$181.48	$224.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.82 / $143.55 / $212.77	Professional		$117.82	$143.55	$212.77
United Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $132.65 / $241.87	Professional		$97.48	$132.65	$241.87