Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,995.26 / $6,918.31	Facility		$134.90	$1,995.26	$6,918.31
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $758.58 / $1,122.02 / $1,122.02	Facility	52	$758.58	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $537.03	Professional		$89.13	$169.82	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $134.90	Professional		$100.00	$120.23	$134.90
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $316.23	Professional		$83.18	$134.90	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $87.10 / $190.55	Professional		$6.03	$87.10	$190.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,288.25 / $2,041.74	Facility		$812.83	$1,288.25	$2,041.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $234.42	Professional		$77.62	$138.04	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $7,762.47	Facility		$1,380.38	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $218.78	Professional		$54.95	$95.50	$218.78