Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.17 / $96.17 / $2,801.46	Facility		$73.17	$96.17	$2,801.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $75.15 / $126.99	Professional		$55.03	$75.15	$126.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $500.97 / $500.97 / $516.03	Professional	50	$500.97	$500.97	$516.03
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $731.90 / $731.90 / $731.90	Facility		$731.90	$731.90	$731.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $74.56 / $75.19	Professional		$74.56	$74.56	$75.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $104.20 / $222.99	Professional		$59.36	$104.20	$222.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $121.37 / $123.92	Professional		$67.06	$121.37	$123.92
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.67 / $734.11 / $1,145.95	Facility		$645.67	$734.11	$1,145.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $85.83 / $168.49	Professional		$53.14	$85.83	$168.49
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 $64.80 / $106.83 / $228.10	Professional		$64.80	$106.83	$228.10