Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $692.58 / $1,547.12	Facility		$157.47	$692.58	$1,547.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $157.47 / $218.08	Professional		$154.38	$157.47	$218.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $164.80 / $188.50	Professional		$135.00	$164.80	$188.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,013.57 / $1,013.57 / $1,013.57	Facility		$1,013.57	$1,013.57	$1,013.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.12 / $682.12 / $819.22	Facility		$682.12	$682.12	$819.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.13 / $369.33 / $727.77	Professional		$218.13	$369.33	$727.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.77 / $672.26 / $1,431.23	Facility		$650.77	$672.26	$1,431.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.34 / $185.11 / $194.05	Professional		$157.34	$185.11	$194.05
United Facility/Professional Professional Modifier Low / Median / High Price $136.02 / $212.03 / $329.35	Professional		$136.02	$212.03	$329.35