Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,466.84 / $8,511.38	Facility		$912.01	$4,466.84	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $6,456.54 / $9,332.54	Facility	50	$1,548.82	$6,456.54	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $309.03 / $1,659.59	Professional		$138.04	$309.03	$1,659.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $457.09 / $3,630.78	Professional	50	$141.25	$457.09	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $2,630.27	Professional		$131.83	$165.96	$2,630.27
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,466.84 / $24,547.09	Facility		$4,265.80	$4,466.84	$24,547.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $398.11 / $1,202.26	Professional		$158.49	$398.11	$1,202.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $707.95	Professional		$263.03	$446.68	$707.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $11,220.18 / $17,378.01	Facility		$7,244.36	$11,220.18	$17,378.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $436.52 / $1,023.29	Professional		$125.89	$436.52	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,606.93 / $10,964.78	Facility		$2,951.21	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $295.12 / $831.76	Professional		$120.23	$295.12	$831.76