Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $515.51 / $2,445.00	Facility		$66.90	$515.51	$2,445.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $192.20 / $1,353.93 / $2,911.00	Facility	50	$192.20	$1,353.93	$2,911.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $62.65 / $100.72	Professional		$37.92	$62.65	$100.72
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $382.90 / $4,349.07 / $6,672.71	Facility		$382.90	$4,349.07	$6,672.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $249.60 / $249.60	Professional		$236.80	$249.60	$249.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $77.78 / $157.99	Professional		$43.91	$77.78	$157.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.01 / $100.72 / $111.27	Professional		$59.01	$100.72	$111.27
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.39 / $356.30 / $556.20	Facility		$313.39	$356.30	$556.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $67.28 / $130.71	Professional		$38.36	$67.28	$130.71
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 $39.85 / $74.43 / $161.07	Professional		$39.85	$74.43	$161.07