Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $1,071.00 / $5,975.00	Facility		$122.31	$1,071.00	$5,975.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $54.14 / $63.36 / $110.71	Facility	54	$54.14	$63.36	$110.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.26 / $102.27 / $461.00	Professional		$81.26	$102.27	$461.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $119.16 / $126.17	Professional		$118.02	$119.16	$126.17
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $551.75 / $24,437.28 / $37,493.76	Facility		$551.75	$24,437.28	$37,493.76
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $144.94 / $205.30	Professional		$105.22	$144.94	$205.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.45 / $129.38 / $260.68	Professional		$84.45	$129.38	$260.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $94.82 / $204.04	Professional		$9.60	$94.82	$204.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.09 / $857.38 / $981.13	Facility		$483.09	$857.38	$981.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.12 / $129.91 / $177.86	Professional		$95.12	$129.91	$177.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $2,626.00 / $5,864.00	Facility		$1,341.00	$2,626.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $119.19 / $254.21	Professional		$67.73	$119.19	$254.21