Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.88 / $4,676.22 / $9,784.00	Facility		$464.88	$4,676.22	$9,784.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,030.00 / $6,274.54 / $12,367.50	Facility	50	$4,030.00	$6,274.54	$12,367.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.06 / $482.64 / $727.67	Professional		$322.06	$482.64	$727.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $161.03 / $239.02 / $359.84	Professional	52	$161.03	$239.02	$359.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $245.87 / $245.87 / $245.87	Professional		$245.87	$245.87	$245.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.44 / $753.13 / $1,673.18	Professional		$287.44	$753.13	$1,673.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $491.93 / $644.24 / $763.00	Professional		$491.93	$644.24	$763.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,652.20 / $13,581.28 / $14,593.52	Facility		$7,652.20	$13,581.28	$14,593.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.01 / $434.06 / $810.14	Professional		$220.01	$434.06	$810.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,321.00 / $6,972.00 / $11,243.00	Facility		$3,321.00	$6,972.00	$11,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.77 / $536.19 / $1,434.57	Professional		$394.77	$536.19	$1,434.57