Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.06 / $5,461.00 / $11,138.21	Facility		$463.06	$5,461.00	$11,138.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,764.79 / $9,116.93 / $9,116.93	Facility	50	$3,764.79	$9,116.93	$9,116.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.33 / $458.64 / $884.69	Professional		$314.33	$458.64	$884.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.62 / $181.62 / $181.62	Professional		$181.62	$181.62	$181.62
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,936.27 / $8,800.00 / $15,994.00	Facility		$3,936.27	$8,800.00	$15,994.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $733.55 / $733.55 / $733.55	Professional		$733.55	$733.55	$733.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.92 / $611.44 / $1,384.20	Professional		$387.92	$611.44	$1,384.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $542.16 / $769.41 / $860.30	Professional		$542.16	$769.41	$860.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,365.87 / $6,576.03 / $15,043.78	Facility		$6,365.87	$6,576.03	$15,043.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.73 / $577.62 / $1,074.24	Professional		$336.73	$577.62	$1,074.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.02 / $626.47 / $1,632.03	Professional		$390.02	$626.47	$1,632.03