Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $187.91 / $939.54	Facility		$65.18	$187.91	$939.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $101.78 / $125.27	Professional		$85.59	$101.78	$125.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $78.30 / $93.95	Professional		$78.30	$78.30	$93.95
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $233.69 / $233.69 / $233.69	Professional		$233.69	$233.69	$233.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $198.09 / $717.55	Facility		$109.42	$198.09	$717.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $82.33 / $171.82	Professional		$59.04	$82.33	$171.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $78.30 / $93.95	Professional		$62.64	$78.30	$93.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.59 / $8,702.00 / $13,785.00	Facility		$156.59	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $107.86 / $107.86	Professional		$107.86	$107.86	$107.86
United Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $93.95 / $126.06	Professional		$60.63	$93.95	$126.06