Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.73 / $3,442.32 / $5,924.45	Facility		$710.73	$3,442.32	$5,924.45
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $30.26 / $54.02 / $1,260.00	Facility	52	$30.26	$54.02	$1,260.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $108.04 / $145.74	Professional		$61.29	$108.04	$145.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $145.44 / $145.44	Professional		$145.44	$145.44	$145.44
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,243.45 / $3,200.24 / $7,988.00	Facility		$1,243.45	$3,200.24	$7,988.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $62.71 / $322.05	Professional		$62.71	$62.71	$322.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $162.77 / $355.61	Professional		$80.45	$162.77	$355.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.37 / $200.14 / $246.31	Professional		$132.37	$200.14	$246.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $1,567.69 / $3,035.95	Facility		$1,426.00	$1,567.69	$3,035.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.89 / $124.17 / $205.70	Professional		$57.89	$124.17	$205.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $129.33 / $281.77	Professional		$72.68	$129.33	$281.77