Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.00 / $199.49 / $305.26	Facility		$127.00	$199.49	$305.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.09 / $200.05 / $289.24	Professional		$147.09	$200.05	$289.24
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $214.25 / $463.84 / $463.84	Professional	25	$214.25	$463.84	$463.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $311.36 / $311.36 / $311.36	Professional		$311.36	$311.36	$311.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $303.44 / $684.16	Professional		$284.27	$303.44	$684.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.81 / $276.94 / $447.76	Professional		$148.81	$276.94	$447.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $418.21 / $418.21 / $418.21	Professional		$418.21	$418.21	$418.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.85 / $301.75 / $597.51	Facility		$252.85	$301.75	$597.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $258.12 / $398.38	Professional		$219.40	$258.12	$398.38
United Facility/Professional Professional Modifier Low / Median / High Price $190.41 / $247.19 / $470.82	Professional		$190.41	$247.19	$470.82