Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.18 / $3,059.00 / $7,235.00	Facility		$827.18	$3,059.00	$7,235.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.31 / $54.91 / $177.64	Facility	53	$30.31	$54.91	$177.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $415.27 / $720.65	Professional		$146.94	$415.27	$720.65
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,056.66 / $4,973.35 / $8,501.89	Facility		$2,056.66	$4,973.35	$8,501.89
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $142.93 / $142.93 / $1,100.00	Professional		$142.93	$142.93	$1,100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,205.51 / $1,205.51 / $1,205.51	Facility		$1,205.51	$1,205.51	$1,205.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.81 / $528.15 / $1,831.03	Professional		$199.81	$528.15	$1,831.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $293.63 / $733.90 / $903.42	Professional		$293.63	$733.90	$903.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.82 / $3,939.13 / $8,000.16	Facility		$3,283.82	$3,939.13	$8,000.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.11 / $560.54 / $1,047.50	Professional		$135.11	$560.54	$1,047.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.01 / $624.75 / $1,391.61	Professional		$285.01	$624.75	$1,391.61