Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.44 / $3,057.00 / $8,568.83	Facility		$86.44	$3,057.00	$8,568.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $96.83 / $357.22	Professional		$57.58	$96.83	$357.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.79 / $44.37 / $74.77	Professional	52	$28.79	$44.37	$74.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $107.86 / $114.82	Professional		$103.60	$107.86	$114.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $145.96 / $324.57	Professional		$97.58	$145.96	$324.57
AmeriHealth Facility/Professional Professional Modifier 52 Low / Median / High Price $40.00 / $40.00 / $40.00	Professional	52	$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $95.70 / $211.55	Professional		$48.64	$95.70	$211.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $71.23 / $182.96	Professional		$9.60	$71.23	$182.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.27 / $549.24 / $981.13	Facility		$465.27	$549.24	$981.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $112.01 / $171.61	Professional		$63.68	$112.01	$171.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $105.25 / $216.84	Professional		$60.40	$105.25	$216.84