Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $1,756.04 / $6,481.00	Facility		$53.53	$1,756.04	$6,481.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $342.51 / $4,172.30 / $6,848.58	Facility	50	$342.51	$4,172.30	$6,848.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $49.80 / $86.31	Professional		$33.60	$49.80	$86.31
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $59.82 / $322.56	Professional		$40.54	$59.82	$322.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $67.18 / $142.99	Professional		$39.01	$67.18	$142.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $80.79 / $82.51	Professional		$48.56	$80.79	$82.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $717.67 / $1,273.72 / $1,368.67	Facility		$717.67	$1,273.72	$1,368.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $58.83 / $116.91	Professional		$35.97	$58.83	$116.91
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 $43.99 / $69.70 / $166.23	Professional		$43.99	$69.70	$166.23