Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,761.00 / $6,109.96 / $11,900.00	Facility		$3,761.00	$6,109.96	$11,900.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,791.00 / $8,448.23 / $17,511.00	Facility	50	$4,791.00	$8,448.23	$17,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.63 / $432.03 / $793.45	Professional		$375.63	$432.03	$793.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $366.30 / $374.27 / $455.52	Professional		$366.30	$374.27	$455.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $321.79 / $608.55 / $1,568.20	Professional		$321.79	$608.55	$1,568.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.48 / $591.16 / $1,131.94	Professional		$365.48	$591.16	$1,131.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $469.75 / $679.09 / $820.73	Professional		$469.75	$679.09	$820.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,184.51 / $14,184.51 / $28,807.94	Facility		$14,184.51	$14,184.51	$28,807.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.33 / $499.02 / $860.63	Professional		$354.33	$499.02	$860.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,258.00	Facility		$5,682.00	$10,536.00	$23,258.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.67 / $477.28 / $1,016.62	Professional		$297.67	$477.28	$1,016.62