Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $131.83 / $194.98	Facility		$125.89	$131.83	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $537.03	Professional		$114.82	$208.93	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $181.97	Professional		$120.23	$144.54	$181.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,778.28	Professional		$724.44	$831.76	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $331.13	Professional		$120.23	$190.55	$331.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $263.03	Professional		$125.89	$169.82	$263.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $3,311.31	Facility		$1,288.25	$1,995.26	$3,311.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $346.74	Professional		$134.90	$165.96	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $281.84	Professional		$112.20	$169.82	$281.84