Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $4,677.35 / $10,471.29	Facility		$549.54	$4,677.35	$10,471.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,454.71 / $6,456.54 / $6,456.54	Facility	50	$2,454.71	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $83.18 / $275.42	Professional		$40.74	$83.18	$275.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $162.18 / $380.19	Professional	50	$74.13	$162.18	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $67.61	Professional		$34.67	$57.54	$67.61
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $87.10 / $91.20	Professional	50	$79.43	$87.10	$91.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $199.53	Professional		$42.66	$70.79	$199.53
AmeriHealth Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $85.11 / $169.82	Professional	50	$83.18	$85.11	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $154.88	Professional		$39.81	$67.61	$154.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $102.33	Professional		$52.48	$74.13	$102.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $1,513.56	Facility		$602.56	$954.99	$1,513.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $61.66 / $165.96	Professional		$31.62	$61.66	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $123.03	Professional		$32.36	$52.48	$123.03