Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $4,570.88 / $10,715.19	Facility		$446.68	$4,570.88	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $912.01	Professional		$281.84	$426.58	$912.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,047.13 / $1,096.48 / $2,398.83	Professional	50	$1,047.13	$1,096.48	$2,398.83
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $288.40 / $446.68 / $851.14	Professional	54	$288.40	$446.68	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $331.13 / $478.63	Professional		$323.59	$331.13	$478.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,000.00	Professional		$602.56	$602.56	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $1,071.52	Professional		$288.40	$426.58	$1,071.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $660.69	Professional		$316.23	$478.63	$660.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $1,230.27	Facility		$489.78	$776.25	$1,230.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $1,318.26	Professional		$295.12	$416.87	$1,318.26
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 $218.78 / $346.74 / $812.83	Professional		$218.78	$346.74	$812.83