Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $3,890.45 / $7,585.78	Facility		$263.03	$3,890.45	$7,585.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $4,897.79 / $8,511.38	Facility	50	$933.25	$4,897.79	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $186.21 / $630.96	Professional		$87.10	$186.21	$630.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $331.13 / $1,230.27	Professional	50	$120.23	$331.13	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $177.83	Professional		$87.10	$154.88	$177.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $218.78 / $309.03	Professional	50	$123.03	$218.78	$309.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $660.69	Professional		$275.42	$275.42	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $537.03	Professional		$97.72	$204.17	$537.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $1,584.89	Professional		$158.49	$245.47	$1,584.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $4,570.88	Facility		$1,819.70	$3,019.95	$4,570.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $186.21 / $602.56	Professional		$72.44	$186.21	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,715.35 / $7,762.47	Facility		$1,862.09	$3,715.35	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $165.96 / $371.54	Professional		$69.18	$165.96	$371.54