Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $138.04 / $186.21	Facility		$87.10	$138.04	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $338.84	Professional		$89.13	$158.49	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $151.36	Professional		$107.15	$128.82	$151.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $288.40	Professional		$128.82	$173.78	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $162.18	Facility		$100.00	$120.23	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $251.19	Professional		$93.33	$141.25	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $257.04	Professional		$63.10	$93.33	$257.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $257.04	Professional		$128.82	$151.36	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $204.17	Professional		$85.11	$120.23	$204.17