Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,365.16 / $10,000.00	Facility		$100.00	$4,365.16	$10,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $112.20 / $1,202.26 / $6,309.57	Facility	50	$112.20	$1,202.26	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $60.26 / $199.53	Professional		$30.90	$60.26	$199.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $147.91 / $309.03	Professional	50	$70.79	$147.91	$309.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.51 / $34.67 / $151.36	Professional	52	$29.51	$34.67	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $57.54	Professional		$33.88	$43.65	$57.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $72.44 / $85.11	Professional	50	$51.29	$72.44	$85.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $52.48	Professional		$36.31	$42.66	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $63.10 / $169.82	Professional		$32.36	$63.10	$169.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $91.20	Professional		$50.12	$57.54	$91.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $190.55 / $302.00	Facility		$120.23	$190.55	$302.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $51.29 / $102.33	Professional		$26.30	$51.29	$102.33
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 $18.20 / $35.48 / $83.18	Professional		$18.20	$35.48	$83.18