Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.73 / $3,057.00 / $6,481.00	Facility		$207.73	$3,057.00	$6,481.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $974.50 / $4,134.00 / $6,716.25	Facility	50	$974.50	$4,134.00	$6,716.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $169.04 / $288.26	Professional		$98.04	$169.04	$288.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.99 / $162.99 / $162.99	Professional	50	$162.99	$162.99	$162.99
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $149.69 / $149.69 / $149.69	Professional	50	$149.69	$149.69	$149.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,348.80 / $1,348.80 / $1,348.80	Professional		$1,348.80	$1,348.80	$1,348.80
AmeriHealth Facility/Professional Professional Modifier 50 Low / Median / High Price $486.27 / $486.27 / $486.27	Professional	50	$486.27	$486.27	$486.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.64 / $244.23 / $630.89	Professional		$118.64	$244.23	$630.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.51 / $297.26 / $1,846.71	Professional		$190.51	$297.26	$1,846.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $2,164.46 / $4,395.92	Facility		$1,080.00	$2,164.46	$4,395.92
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $195.97 / $415.14	Professional		$87.81	$195.97	$415.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.24 / $291.51 / $575.17	Professional		$175.24	$291.51	$575.17