Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,466.84 / $9,332.54	Facility		$512.86	$4,466.84	$9,332.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $6,025.60 / $6,025.60	Facility	50	$1,949.84	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $208.93 / $549.54	Professional		$64.57	$208.93	$549.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $602.56 / $1,148.15	Professional	50	$147.91	$602.56	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $245.47	Professional		$58.88	$97.72	$245.47
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	50	$338.84	$338.84	$338.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $446.68	Professional		$251.19	$263.03	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $77.62	Facility		$72.44	$72.44	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $186.21 / $436.52	Professional		$70.79	$186.21	$436.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $478.63	Professional		$275.42	$380.19	$478.63
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $218.78 / $457.09	Professional		$61.66	$218.78	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $7,762.47	Facility		$1,380.38	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $181.97 / $436.52	Professional		$60.26	$181.97	$436.52