Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.57 / $1,328.00 / $6,489.00	Facility		$97.57	$1,328.00	$6,489.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.33 / $48.79 / $111.72	Facility	52	$37.33	$48.79	$111.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $110.50 / $501.54	Professional		$81.54	$110.50	$501.54
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,108.36 / $1,108.36 / $1,108.36	Facility		$1,108.36	$1,108.36	$1,108.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $132.82 / $271.02	Professional		$77.84	$132.82	$271.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $94.82 / $207.55	Professional		$4.80	$94.82	$207.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $783.87 / $890.20 / $2,106.33	Facility		$783.87	$890.20	$2,106.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $137.78 / $201.19	Professional		$89.35	$137.78	$201.19
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 $74.93 / $126.74 / $250.41	Professional		$74.93	$126.74	$250.41