Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.30 / $4,049.00 / $6,986.00	Facility		$617.30	$4,049.00	$6,986.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,355.78 / $3,985.00 / $5,874.00	Facility	50	$3,355.78	$3,985.00	$5,874.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.08 / $135.59 / $239.32	Professional		$123.08	$135.59	$239.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.54 / $165.54 / $165.54	Professional		$165.54	$165.54	$165.54
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $531.25 / $8,182.00 / $15,904.00	Facility		$531.25	$8,182.00	$15,904.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $198.35 / $477.90 / $1,242.00	Professional		$198.35	$477.90	$1,242.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.96 / $215.74 / $395.84	Professional		$108.96	$215.74	$395.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $209.39 / $254.26	Professional		$162.19	$209.39	$254.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.82 / $146.78 / $261.08	Professional		$111.82	$146.78	$261.08
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 $114.01 / $156.37 / $293.91	Professional		$114.01	$156.37	$293.91