Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.09 / $1,557.99 / $6,986.00	Facility		$46.09	$1,557.99	$6,986.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,604.00 / $9,154.50 / $9,154.50	Facility	50	$5,604.00	$9,154.50	$9,154.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $51.67 / $86.66	Professional		$35.72	$51.67	$86.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $96.63 / $96.63 / $96.63	Professional	50	$96.63	$96.63	$96.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $53.09 / $92.05	Professional		$48.35	$53.09	$92.05
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,107.90 / $1,107.90 / $1,107.90	Facility		$1,107.90	$1,107.90	$1,107.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $83.76 / $153.85	Professional		$48.81	$83.76	$153.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $68.12 / $140.30	Professional		$39.51	$68.12	$140.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $85.19 / $89.95	Professional		$63.94	$85.19	$89.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.27 / $657.72 / $717.67	Facility		$598.27	$657.72	$717.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $55.66 / $110.08	Professional		$34.86	$55.66	$110.08
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 $45.49 / $63.84 / $156.05	Professional		$45.49	$63.84	$156.05