Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $1,332.00 / $6,986.00	Facility		$45.22	$1,332.00	$6,986.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $147.94 / $1,244.00 / $6,244.49	Facility	50	$147.94	$1,244.00	$6,244.49
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $14.82 / $22.62 / $30.57	Facility	52	$14.82	$22.62	$30.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $45.23 / $79.88	Professional		$29.38	$45.23	$79.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.31 / $83.76 / $274.50	Professional	50	$76.31	$83.76	$274.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.64 / $21.29 / $27.77	Professional	52	$14.64	$21.29	$27.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $26.07 / $52.14	Professional		$25.08	$26.07	$52.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $57.35 / $126.93	Professional		$42.83	$57.35	$126.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $64.55 / $156.66	Professional		$32.51	$64.55	$156.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $72.13 / $88.73	Professional		$54.84	$72.13	$88.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $144.41 / $313.14	Facility		$120.38	$144.41	$313.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $46.67 / $80.37	Professional		$26.28	$46.67	$80.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $44.81 / $93.85	Professional		$26.44	$44.81	$93.85