Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.70 / $4,296.56 / $6,608.00	Facility		$311.70	$4,296.56	$6,608.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $154.47 / $231.21	Professional		$72.80	$154.47	$231.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $439.76 / $439.76 / $439.76	Professional	50	$439.76	$439.76	$439.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $337.02 / $820.85 / $11,733.00	Facility		$337.02	$820.85	$11,733.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $208.10 / $505.07	Professional		$85.34	$208.10	$505.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.29 / $262.72 / $323.75	Professional		$135.29	$262.72	$323.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,800.66 / $7,911.28 / $15,088.81	Facility		$5,800.66	$7,911.28	$15,088.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $168.62 / $280.81	Professional		$63.37	$168.62	$280.81
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 $128.78 / $197.31 / $395.08	Professional		$128.78	$197.31	$395.08