Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $180.21 / $498.13	Facility		$34.78	$180.21	$498.13
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $262.20 / $699.62 / $1,469.45	Facility	50	$262.20	$699.62	$1,469.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $61.94 / $108.00	Professional		$21.56	$61.94	$108.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $74.73 / $80.48	Professional		$23.79	$74.73	$80.48
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $36.13 / $36.13 / $114.99	Professional	50	$36.13	$36.13	$114.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $378.00 / $476.00	Facility		$378.00	$378.00	$476.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $92.53 / $92.93	Professional		$92.53	$92.53	$92.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $87.73 / $203.23	Professional		$26.20	$87.73	$203.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $110.71 / $140.36	Professional		$80.38	$110.71	$140.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.58 / $347.14 / $731.62	Facility		$309.58	$347.14	$731.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $87.89 / $155.33	Professional		$24.54	$87.89	$155.33
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 $73.70 / $117.02 / $253.53	Professional		$73.70	$117.02	$253.53