Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.69 / $182.34 / $340.37	Facility		$139.69	$182.34	$340.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $156.07 / $197.61	Professional		$122.34	$156.07	$197.61
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $310.39 / $310.39 / $310.39	Professional	25	$310.39	$310.39	$310.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.02 / $199.05 / $226.82	Professional		$162.02	$199.05	$226.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $170.59 / $200.69 / $1,299.80	Professional		$170.59	$200.69	$1,299.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $172.67 / $311.07	Professional		$95.00	$172.67	$311.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $280.85 / $280.85 / $365.08	Professional		$280.85	$280.85	$365.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.22 / $376.22 / $390.62	Facility		$376.22	$376.22	$390.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.41 / $173.58 / $257.02	Professional		$125.41	$173.58	$257.02
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $174.71 / $338.78	Professional		$110.00	$174.71	$338.78