Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.97 / $6,012.00 / $9,784.00	Facility		$391.97	$6,012.00	$9,784.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,909.00 / $4,236.00 / $8,725.50	Facility	50	$1,909.00	$4,236.00	$8,725.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.49 / $310.54 / $507.54	Professional		$262.49	$310.54	$507.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $590.65 / $787.53 / $803.56	Professional	50	$590.65	$787.53	$803.56
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,366.32 / $5,357.80 / $11,733.00	Facility		$2,366.32	$5,357.80	$11,733.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.24 / $470.96 / $917.02	Professional		$204.24	$470.96	$917.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.77 / $407.80 / $486.76	Professional		$302.77	$407.80	$486.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $14,030.14 / $19,135.13	Facility		$1,080.00	$14,030.14	$19,135.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.43 / $287.64 / $570.71	Professional		$209.43	$287.64	$570.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $296.04 / $586.45	Professional		$194.78	$296.04	$586.45