Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.43 / $3,374.00 / $10,329.99	Facility		$288.43	$3,374.00	$10,329.99
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $2,353.44 / $2,353.44 / $2,353.44	Facility	80	$2,353.44	$2,353.44	$2,353.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $267.31 / $441.47	Professional		$230.18	$267.31	$441.47
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $740.03 / $822.25 / $1,644.51	Professional	AS	$740.03	$822.25	$1,644.51
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,936.27 / $9,088.00 / $16,433.00	Facility		$3,936.27	$9,088.00	$16,433.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $373.68 / $1,920.00 / $1,920.00	Professional		$373.68	$1,920.00	$1,920.00
AmeriHealth Facility/Professional Professional Modifier AS Low / Median / High Price $23.20 / $48.00 / $48.00	Professional	AS	$23.20	$48.00	$48.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.96 / $391.44 / $933.90	Professional		$254.96	$391.44	$933.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $242.80 / $330.86 / $423.38	Professional		$242.80	$330.86	$423.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.19 / $313.82 / $753.64	Professional		$229.19	$313.82	$753.64
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 $224.28 / $327.42 / $760.64	Professional		$224.28	$327.42	$760.64