Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,388.44 / $9,772.37	Facility		$1,445.44	$3,388.44	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $4,466.84 / $4,897.79	Facility	50	$3,090.30	$4,466.84	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $213.80 / $794.33	Professional		$64.57	$213.80	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $204.17 / $575.44	Professional	50	$104.71	$204.17	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $269.15	Professional		$213.80	$239.88	$269.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $323.59 / $363.08	Professional	50	$323.59	$323.59	$363.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
AmeriHealth Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $354.81 / $354.81	Professional	50	$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $199.53 / $537.03	Professional		$74.13	$199.53	$537.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $776.25	Professional		$239.88	$346.74	$776.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $186.21 / $524.81	Professional		$53.70	$186.21	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,762.47	Facility		$1,412.54	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $151.36 / $398.11	Professional		$57.54	$151.36	$398.11