Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.60 / $3,059.00 / $6,996.00	Facility		$957.60	$3,059.00	$6,996.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,922.00 / $6,203.00 / $14,565.00	Facility	50	$2,922.00	$6,203.00	$14,565.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.51 / $389.00 / $718.89	Professional		$138.51	$389.00	$718.89
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $964.79 / $2,172.54 / $8,182.00	Facility		$964.79	$2,172.54	$8,182.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $135.11 / $162.84 / $1,000.00	Professional		$135.11	$162.84	$1,000.00
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 $187.59 / $524.79 / $1,880.83	Professional		$187.59	$524.79	$1,880.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.85 / $725.95 / $893.78	Professional		$275.85	$725.95	$893.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,939.13 / $3,939.13 / $8,000.16	Facility		$3,939.13	$3,939.13	$8,000.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $555.16 / $1,042.42	Professional		$127.76	$555.16	$1,042.42
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 $287.70 / $584.39 / $1,363.41	Professional		$287.70	$584.39	$1,363.41