Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.17 / $110.17 / $268.62	Facility		$110.17	$110.17	$268.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.17 / $144.77 / $187.35	Professional		$110.17	$144.77	$187.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.14 / $171.14 / $171.14	Professional		$171.14	$171.14	$171.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $290.69 / $290.69	Professional		$258.83	$290.69	$290.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $323.62	Facility		$184.69	$194.92	$323.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $310.05	Professional		$142.29	$142.29	$310.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.64 / $297.73 / $423.94	Professional		$295.64	$297.73	$423.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.45 / $323.62 / $323.62	Professional		$309.45	$323.62	$323.62
United Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $161.44 / $323.62	Professional		$141.30	$161.44	$323.62