Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $169.82 / $229.09	Facility		$107.15	$169.82	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $371.54	Professional		$107.15	$169.82	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $173.78	Professional		$131.83	$154.88	$173.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $389.05	Professional		$131.83	$177.83	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $151.36 / $190.55	Facility		$107.15	$151.36	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $302.00	Professional		$112.20	$173.78	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $309.03	Professional		$85.11	$109.65	$309.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $309.03	Professional		$154.88	$181.97	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $251.19	Professional		$104.71	$147.91	$251.19