Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $5,495.41 / $10,715.19	Facility		$478.63	$5,495.41	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $3,388.44 / $7,943.28	Facility	50	$3,019.95	$3,388.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $186.21 / $389.05	Professional		$83.18	$186.21	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $457.09 / $1,288.25	Professional	50	$323.59	$457.09	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $194.98	Professional		$173.78	$186.21	$194.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $288.40	Professional		$229.09	$229.09	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $489.78	Professional		$95.50	$213.80	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $323.59 / $389.05	Professional		$125.89	$323.59	$389.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,288.25 / $2,041.74	Facility		$812.83	$1,288.25	$2,041.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $194.98 / $416.87	Professional		$61.66	$194.98	$416.87
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 $72.44 / $186.21 / $380.19	Professional		$72.44	$186.21	$380.19