Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.88 / $3,492.50 / $6,577.64	Facility		$368.88	$3,492.50	$6,577.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,094.06 / $8,662.50 / $10,067.32	Facility	50	$1,094.06	$8,662.50	$10,067.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $47.83 / $184.44 / $570.44	Facility	52	$47.83	$184.44	$570.44
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.13 / $36.79 / $120.50	Facility	53	$19.13	$36.79	$120.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $290.50 / $664.86	Professional		$96.65	$290.50	$664.86
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,836.57 / $7,988.00 / $13,972.00	Facility		$1,836.57	$7,988.00	$13,972.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $323.05 / $960.75	Professional		$125.98	$323.05	$960.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $195.20 / $462.40 / $569.59	Professional		$195.20	$462.40	$569.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,213.01 / $1,447.67 / $3,259.49	Facility		$1,213.01	$1,447.67	$3,259.49
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $284.19 / $532.84	Professional		$90.14	$284.19	$532.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.23 / $472.70 / $949.38	Professional		$239.23	$472.70	$949.38