Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.42 / $351.20 / $1,786.83	Facility		$190.42	$351.20	$1,786.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $313.70 / $326.37	Professional		$260.79	$313.70	$326.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $294.41 / $294.41 / $294.41	Professional		$294.41	$294.41	$294.41
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $201.24 / $449.35 / $997.05	Facility		$201.24	$449.35	$997.05
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $92.80 / $92.80	Professional		$92.80	$92.80	$92.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.39 / $626.39 / $1,117.34	Professional		$626.39	$626.39	$1,117.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $527.66 / $527.66 / $527.66	Professional		$527.66	$527.66	$527.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.39 / $334.59 / $351.73	Professional		$284.39	$334.59	$351.73
United Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $377.00	Professional		$359.05	$359.05	$377.00