Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $457.09	Facility		$87.10	$125.89	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $281.84	Professional		$89.13	$131.83	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $162.18	Professional		$93.33	$123.03	$162.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $120.23 / $158.49	Professional		$117.49	$120.23	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $223.87	Professional		$79.43	$128.82	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $316.23	Professional		$251.19	$263.03	$316.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $446.68 / $812.83	Facility		$323.59	$446.68	$812.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $223.87	Professional		$125.89	$151.36	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $95.50 / $154.88	Facility		$79.43	$95.50	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $229.09	Professional		$95.50	$134.90	$229.09