Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,495.41 / $10,232.93	Facility		$1,778.28	$5,495.41	$10,232.93
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility	22	$4,365.16	$4,365.16	$4,365.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,918.31 / $7,943.28 / $11,748.98	Facility	50	$6,918.31	$7,943.28	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,819.70	Professional		$346.74	$524.81	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $380.19	Professional		$354.81	$354.81	$380.19
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $537.03 / $1,174.90	Professional		$323.59	$537.03	$1,174.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $588.84	Professional		$323.59	$446.68	$588.84
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 $288.40 / $416.87 / $851.14	Professional		$288.40	$416.87	$851.14
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 $239.88 / $354.81 / $776.25	Professional		$239.88	$354.81	$776.25