Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.07 / $183.09 / $553.02	Facility		$38.07	$183.09	$553.02
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $254.83 / $495.55 / $843.70	Facility	50	$254.83	$495.55	$843.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $45.69 / $82.20	Professional		$27.33	$45.69	$82.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $54.64 / $56.58	Professional		$23.56	$54.64	$56.58
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $282.98 / $398.65 / $408.03	Facility		$282.98	$398.65	$408.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $64.67 / $64.88	Professional		$64.67	$64.67	$64.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $67.78 / $144.79	Professional		$31.72	$67.78	$144.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $80.23 / $100.72	Professional		$58.14	$80.23	$100.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.80 / $436.16 / $4,207.00	Facility		$319.80	$436.16	$4,207.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $62.67 / $110.60	Professional		$25.80	$62.67	$110.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $70.80 / $181.77	Professional		$45.85	$70.80	$181.77