Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.40 / $221.10 / $446.57	Facility		$81.40	$221.10	$446.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.38 / $266.30 / $272.70	Professional		$221.38	$266.30	$272.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $192.50 / $192.50	Professional		$192.50	$192.50	$192.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $191.10 / $441.79 / $1,069.42	Facility		$191.10	$441.79	$1,069.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $352.92	Facility		$272.70	$272.70	$352.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $54.54 / $54.54	Professional		$54.54	$54.54	$54.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $53.20 / $53.20	Professional		$53.20	$53.20	$53.20
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $283.74	Professional		$267.37	$267.37	$283.74