Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.92 / $2,094.83 / $8,419.00	Facility		$49.92	$2,094.83	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $68.48 / $115.28	Professional		$42.71	$68.48	$115.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	50	$154.88	$154.88	$154.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $117.00 / $351.20	Professional		$117.00	$117.00	$351.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.08 / $370.08 / $370.08	Facility		$370.08	$370.08	$370.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $93.47 / $200.97	Professional		$49.55	$93.47	$200.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,161.00 / $8,161.00 / $8,161.00	Facility		$8,161.00	$8,161.00	$8,161.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $129.86 / $132.12	Professional		$73.91	$129.86	$132.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.15 / $649.40 / $1,368.67	Facility		$579.15	$649.40	$1,368.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $76.27 / $151.90	Professional		$39.61	$76.27	$151.90
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 $65.78 / $92.14 / $227.56	Professional		$65.78	$92.14	$227.56