Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.20 / $2,572.00 / $9,125.00	Facility		$44.20	$2,572.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $54.11 / $92.73	Professional		$37.33	$54.11	$92.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.59 / $87.59 / $87.59	Professional	50	$87.59	$87.59	$87.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $52.65 / $52.65	Professional		$52.65	$52.65	$52.65
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $78.98 / $78.98 / $78.98	Professional	50	$78.98	$78.98	$78.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $62.99 / $204.80	Professional		$20.68	$62.99	$204.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $73.17 / $159.69	Professional		$42.21	$73.17	$159.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,161.00 / $8,161.00 / $8,161.00	Facility		$8,161.00	$8,161.00	$8,161.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $88.88 / $90.77	Professional		$52.34	$88.88	$90.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.15 / $649.40 / $1,556.24	Facility		$579.15	$649.40	$1,556.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $58.91 / $123.01	Professional		$34.54	$58.91	$123.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,241.44 / $3,339.00 / $9,152.00	Facility		$1,241.44	$3,339.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $67.20 / $166.45	Professional		$47.30	$67.20	$166.45