Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.56 / $3,704.10 / $6,985.00	Facility		$447.56	$3,704.10	$6,985.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $45.17 / $69.88 / $362.33	Facility	52	$45.17	$69.88	$362.33
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.07 / $89.51 / $147.79	Facility	53	$18.07	$89.51	$147.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $332.34 / $452.00	Professional		$81.63	$332.34	$452.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,827.55 / $3,827.55 / $3,827.55	Facility		$3,827.55	$3,827.55	$3,827.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.94 / $281.16 / $943.69	Professional		$93.94	$281.16	$943.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.80 / $593.83 / $683.22	Professional		$149.80	$593.83	$683.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,776.73 / $3,776.73 / $6,702.99	Facility		$3,776.73	$3,776.73	$6,702.99
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $369.35 / $614.46	Professional		$68.40	$369.35	$614.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.10 / $484.84 / $1,133.32	Professional		$349.10	$484.84	$1,133.32