Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $10,964.78	Facility		$2,454.71	$5,495.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $380.19	Professional		$104.71	$144.54	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $194.98 / $416.87	Professional	50	$154.88	$194.98	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
AmeriHealth Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	50	$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $389.05	Professional		$93.33	$147.91	$389.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $218.78	Professional		$117.49	$165.96	$218.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $912.01 / $1,513.56	Facility		$588.84	$912.01	$1,513.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $275.42	Professional		$95.50	$151.36	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $229.09	Professional		$87.10	$123.03	$229.09