Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $4,677.35 / $10,471.29	Facility		$208.93	$4,677.35	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $93.33 / $288.40	Professional		$44.67	$93.33	$288.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $234.42 / $354.81	Professional	50	$120.23	$234.42	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $64.57 / $100.00	Professional		$61.66	$64.57	$100.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $354.81	Professional		$117.49	$117.49	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $91.20 / $204.17	Professional		$47.86	$91.20	$204.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $147.91	Professional		$74.13	$107.15	$147.91
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 $37.15 / $81.28 / $199.53	Professional		$37.15	$81.28	$199.53
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 $38.90 / $72.44 / $158.49	Professional		$38.90	$72.44	$158.49