Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $105.78 / $105.78	Facility		$105.78	$105.78	$105.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $125.27 / $182.34	Professional		$105.78	$125.27	$182.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.29 / $141.29 / $141.29	Professional		$141.29	$141.29	$141.29
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $223.84 / $223.84 / $223.84	Professional		$223.84	$223.84	$223.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $170.64 / $287.83	Facility		$108.00	$170.64	$287.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $252.04	Professional		$124.57	$124.57	$252.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $262.97 / $264.81 / $377.07	Professional		$262.97	$264.81	$377.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.00 / $191.00 / $191.46	Professional		$191.00	$191.00	$191.46
United Facility/Professional Professional Modifier Low / Median / High Price $129.24 / $149.81 / $287.83	Professional		$129.24	$149.81	$287.83