Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.12 / $3,521.00 / $6,985.00	Facility		$113.12	$3,521.00	$6,985.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,934.60 / $1,934.60 / $1,934.60	Facility	50	$1,934.60	$1,934.60	$1,934.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.86 / $172.90 / $299.63	Professional		$62.86	$172.90	$299.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $939.00 / $939.00 / $939.00	Professional	50	$939.00	$939.00	$939.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $58.86 / $188.49	Professional		$58.65	$58.86	$188.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $261.30 / $447.02	Professional		$253.00	$261.30	$447.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.94 / $71.94 / $78.02	Facility		$71.94	$71.94	$78.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $181.36 / $408.33	Professional		$69.95	$181.36	$408.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $261.81 / $360.66 / $446.46	Professional		$261.81	$360.66	$446.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $200.63 / $324.75	Professional		$61.63	$200.63	$324.75
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 $185.55 / $259.14 / $611.33	Professional		$185.55	$259.14	$611.33