Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.56 / $363.68 / $6,486.75	Facility		$172.56	$363.68	$6,486.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $176.45 / $224.09	Professional		$176.44	$176.45	$224.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $155.41 / $186.50	Professional		$155.41	$155.41	$186.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,905.41 / $1,905.41 / $5,818.38	Facility		$1,905.41	$1,905.41	$5,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $220.54 / $285.33	Facility		$176.45	$220.54	$285.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $183.11	Professional		$176.45	$176.45	$183.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.11 / $195.56 / $264.87	Professional		$183.11	$195.56	$264.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.67 / $414.16 / $13,785.00	Facility		$303.67	$414.16	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $172.29 / $188.14	Professional		$155.41	$172.29	$188.14
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $185.27 / $211.74	Professional		$176.45	$185.27	$211.74