Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $87.61 / $103.07	Facility		$72.73	$87.61	$103.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $85.15 / $113.72	Professional		$68.69	$85.15	$113.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.24 / $113.24 / $113.24	Professional		$113.24	$113.24	$113.24
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $101.59 / $101.59	Professional		$101.59	$101.59	$101.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.45 / $97.45 / $108.94	Facility		$97.45	$97.45	$108.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $98.00 / $154.46	Professional		$70.00	$98.00	$154.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.21 / $132.97 / $177.00	Professional		$115.21	$132.97	$177.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.96 / $610.96 / $757.08	Facility		$610.96	$610.96	$757.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $98.97 / $159.66	Professional		$67.13	$98.97	$159.66
United Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $104.52 / $179.84	Professional		$73.62	$104.52	$179.84