Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $2,286.00 / $8,419.00	Facility		$83.39	$2,286.00	$8,419.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $255.40 / $5,256.00 / $9,496.70	Facility	50	$255.40	$5,256.00	$9,496.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $132.41 / $351.99	Professional		$62.20	$132.41	$351.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $61.33 / $62.43	Professional		$61.33	$61.33	$62.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,542.75 / $1,542.75 / $1,542.75	Facility		$1,542.75	$1,542.75	$1,542.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $167.77 / $421.41	Professional		$67.70	$167.77	$421.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.59 / $503.69 / $620.03	Professional		$363.59	$503.69	$620.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,468.41 / $1,622.76 / $2,880.09	Facility		$1,468.41	$1,622.76	$2,880.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $211.94 / $370.74	Professional		$53.61	$211.94	$370.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $3,823.00 / $9,152.00	Facility		$2,284.00	$3,823.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.03 / $265.62 / $519.39	Professional		$140.03	$265.62	$519.39