Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.07 / $2,626.00 / $6,968.56	Facility		$138.07	$2,626.00	$6,968.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,082.58 / $4,082.58 / $4,082.58	Facility	50	$4,082.58	$4,082.58	$4,082.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $127.74 / $204.59	Professional		$46.43	$127.74	$204.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $88.16 / $88.16 / $88.16	Professional	50	$88.16	$88.16	$88.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $48.25 / $139.80	Professional		$43.04	$48.25	$139.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.47 / $70.47 / $70.47	Professional	50	$70.47	$70.47	$70.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $2,813.44 / $8,013.00	Facility		$576.29	$2,813.44	$8,013.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $217.43 / $317.74	Professional		$52.89	$217.43	$317.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.64 / $174.64 / $212.04	Facility		$174.64	$174.64	$212.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $152.22 / $320.92	Professional		$51.30	$152.22	$320.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $253.74 / $313.37	Professional		$184.20	$253.74	$313.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $140.05 / $238.37	Professional		$45.15	$140.05	$238.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $183.85 / $379.68	Professional		$133.44	$183.85	$379.68