Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.18 / $2,053.71 / $6,986.00	Facility		$57.18	$2,053.71	$6,986.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $388.30 / $388.30 / $388.30	Facility	50	$388.30	$388.30	$388.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $75.70 / $125.30	Professional		$48.78	$75.70	$125.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $159.82 / $159.82	Professional		$98.35	$159.82	$159.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.23 / $370.23 / $370.23	Facility		$370.23	$370.23	$370.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $101.52 / $222.99	Professional		$55.83	$101.52	$222.99
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 $80.25 / $140.04 / $142.51	Professional		$80.25	$140.04	$142.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,358.71 / $1,358.71 / $3,210.89	Facility		$1,358.71	$1,358.71	$3,210.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.69 / $88.55 / $166.38	Professional		$45.69	$88.55	$166.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $101.22 / $251.35	Professional		$73.12	$101.22	$251.35