Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.40 / $3,059.00 / $8,155.00	Facility		$80.40	$3,059.00	$8,155.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $32.17 / $53.56 / $133.56	Facility	52	$32.17	$53.56	$133.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $158.44 / $320.05	Professional		$63.68	$158.44	$320.05
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.53 / $79.23 / $111.05	Professional	52	$31.53	$79.23	$111.05
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $281.52 / $399.83	Professional		$116.25	$281.52	$399.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $200.57 / $608.12	Professional		$72.44	$200.57	$608.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $118.56 / $318.07	Professional		$105.52	$118.56	$318.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.57 / $454.57 / $471.99	Facility		$454.57	$454.57	$471.99
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $176.82 / $330.43	Professional		$50.29	$176.82	$330.43
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 $143.37 / $211.14 / $433.85	Professional		$143.37	$211.14	$433.85