Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,897.79 / $10,715.19	Facility		$1,862.09	$4,897.79	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility	50	$6,025.60	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $1,122.02	Professional		$239.88	$457.09	$1,122.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $660.69 / $2,754.23	Professional	50	$645.65	$660.69	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,023.29	Professional		$575.44	$812.83	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $575.44 / $1,122.02	Professional		$181.97	$575.44	$1,122.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $398.11	Professional		$269.15	$302.00	$398.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,818.38	Facility		$1,071.52	$1,698.24	$2,818.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,000.00	Professional		$407.38	$549.54	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $7,762.47	Facility		$1,819.70	$3,630.78	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $478.63 / $933.25	Professional		$186.21	$478.63	$933.25