Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $85.97 / $112.90	Facility		$64.48	$85.97	$112.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $105.00 / $153.19	Professional		$64.48	$105.00	$153.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $107.58 / $126.31	Professional		$106.48	$107.58	$126.31
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $129.51 / $254.10	Professional		$99.22	$129.51	$254.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.18 / $117.95 / $123.29	Facility		$111.18	$117.95	$123.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $143.97 / $243.29	Professional		$87.00	$143.97	$243.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.49 / $166.18 / $267.33	Professional		$113.49	$166.18	$267.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.03 / $141.63 / $212.18	Professional		$106.03	$141.63	$212.18
United Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $128.54 / $242.55	Professional		$98.16	$128.54	$242.55