Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.36 / $3,087.10 / $7,684.00	Facility		$277.36	$3,087.10	$7,684.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $62.06 / $111.55 / $160.85	Facility	52	$62.06	$111.55	$160.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.11 / $250.47 / $374.43	Professional		$124.11	$250.47	$374.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,816.74 / $8,618.00 / $15,994.00	Facility		$1,816.74	$8,618.00	$15,994.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.61 / $307.89 / $810.00	Professional		$137.61	$307.89	$810.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.96 / $383.05 / $472.22	Professional		$239.96	$383.05	$472.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,793.78 / $4,192.54 / $7,995.59	Facility		$3,793.78	$4,192.54	$7,995.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $247.97 / $437.60	Professional		$106.14	$247.97	$437.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,523.00 / $9,152.00	Facility		$3,705.00	$5,523.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.95 / $286.75 / $583.96	Professional		$197.95	$286.75	$583.96