Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $147.91 / $204.17	Facility		$87.10	$147.91	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $199.53	Professional		$77.62	$95.50	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $109.65	Professional		$50.12	$87.10	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $208.93	Professional		$69.18	$102.33	$208.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $208.93	Professional		$158.49	$169.82	$208.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $467.74	Facility		$186.21	$257.04	$467.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $158.49	Professional		$79.43	$91.20	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $104.71	Facility		$83.18	$100.00	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $165.96	Professional		$70.79	$93.33	$165.96