Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.46 / $1,359.00 / $6,489.00	Facility		$56.46	$1,359.00	$6,489.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $593.36 / $593.36 / $593.36	Facility	50	$593.36	$593.36	$593.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $47.40 / $80.87	Professional		$34.02	$47.40	$80.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.33 / $72.33 / $83.71	Professional	50	$72.33	$72.33	$83.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $49.31 / $52.14	Professional		$47.46	$49.31	$52.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $66.80 / $134.40	Professional		$27.00	$66.80	$134.40
AmeriHealth Facility/Professional Professional Modifier 50 Low / Median / High Price $434.88 / $434.88 / $434.88	Professional	50	$434.88	$434.88	$434.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $63.04 / $134.49	Professional		$38.39	$63.04	$134.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $83.73 / $85.19	Professional		$62.81	$83.73	$85.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.15 / $598.27 / $717.67	Facility		$579.15	$598.27	$717.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $53.01 / $107.22	Professional		$33.54	$53.01	$107.22
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 $44.17 / $60.49 / $149.78	Professional		$44.17	$60.49	$149.78