Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.41 / $2,286.00 / $6,986.00	Facility		$74.41	$2,286.00	$6,986.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $850.64 / $2,067.00 / $3,100.50	Facility	50	$850.64	$2,067.00	$3,100.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $87.28 / $146.65	Professional		$55.09	$87.28	$146.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.11 / $126.11 / $126.11	Professional	50	$126.11	$126.11	$126.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $85.34 / $85.34 / $85.34	Professional	50	$85.34	$85.34	$85.34
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $552.79 / $552.79 / $552.79	Professional		$552.79	$552.79	$552.79
AmeriHealth Facility/Professional Professional Modifier 50 Low / Median / High Price $160.37 / $160.37 / $160.37	Professional	50	$160.37	$160.37	$160.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $125.51 / $307.07	Professional		$66.81	$125.51	$307.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.01 / $151.16 / $1,076.92	Professional		$96.01	$151.16	$1,076.92
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $100.81 / $215.48	Professional		$50.78	$100.81	$215.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.34 / $133.94 / $328.62	Professional		$82.34	$133.94	$328.62