Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.19 / $2,277.76 / $3,982.05	Facility		$418.19	$2,277.76	$3,982.05
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $589.23 / $589.23 / $589.23	Facility	50	$589.23	$589.23	$589.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $90.40 / $320.16	Professional		$40.31	$90.40	$320.16
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,186.83 / $6,747.00 / $11,808.59	Facility		$1,186.83	$6,747.00	$11,808.59
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $122.75 / $201.78	Professional		$74.09	$122.75	$201.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $85.60 / $197.58	Professional		$45.06	$85.60	$197.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $181.54 / $206.77	Professional		$133.91	$181.54	$206.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $783.87 / $971.34 / $1,852.45	Facility		$783.87	$971.34	$1,852.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $103.25 / $175.04	Professional		$54.88	$103.25	$175.04
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 $68.48 / $114.02 / $242.47	Professional		$68.48	$114.02	$242.47