Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.99 / $148.51 / $148.51	Facility		$145.99	$148.51	$148.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.12 / $135.11 / $185.47	Professional		$114.12	$135.11	$185.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.91 / $127.87 / $251.82	Professional		$118.91	$127.87	$251.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $178.58 / $426.33	Professional		$136.43	$178.58	$426.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $182.91 / $317.44	Professional		$99.33	$182.91	$317.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $199.17 / $260.76	Professional		$154.91	$199.17	$260.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $133.59 / $227.34	Professional		$100.49	$133.59	$227.34
United Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $147.71 / $264.67	Professional		$98.78	$147.71	$264.67