Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $4,118.00 / $9,842.00	Facility		$223.48	$4,118.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $167.61 / $182.91 / $236.68	Facility	54	$167.61	$182.91	$236.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.51 / $238.12 / $408.63	Professional		$209.51	$238.12	$408.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.90 / $224.90 / $224.90	Professional		$224.90	$224.90	$224.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $251.92 / $251.92 / $251.92	Professional		$251.92	$251.92	$251.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.62 / $347.62 / $751.66	Professional		$228.62	$347.62	$751.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $226.62 / $365.78 / $412.50	Professional		$226.62	$365.78	$412.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.20 / $663.08 / $1,264.67	Facility		$583.20	$663.08	$1,264.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.14 / $289.19 / $553.95	Professional		$218.14	$289.19	$553.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,339.00 / $9,152.00	Facility		$1,200.00	$3,339.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.76 / $312.51 / $748.08	Professional		$205.76	$312.51	$748.08