Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.02 / $5,122.00 / $11,332.00	Facility		$52.02	$5,122.00	$11,332.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.40 / $10.40 / $14.62	Facility	53	$10.40	$10.40	$14.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $48.66 / $67.20	Professional		$42.60	$48.66	$67.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $37.90 / $598.65	Professional		$37.90	$37.90	$598.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $74.79 / $148.16	Professional		$34.26	$74.79	$148.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $70.18 / $78.09	Professional		$65.31	$70.18	$78.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $44.79 / $93.29	Professional		$35.38	$44.79	$93.29
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 $39.26 / $51.11 / $128.65	Professional		$39.26	$51.11	$128.65