Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.28 / $1,880.00 / $6,711.55	Facility		$130.28	$1,880.00	$6,711.55
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,439.00 / $5,439.00 / $5,439.00	Facility	50	$5,439.00	$5,439.00	$5,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $124.12 / $214.59	Professional		$71.73	$124.12	$214.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,555.11 / $4,078.91 / $8,800.00	Facility		$1,555.11	$4,078.91	$8,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $155.59 / $377.64	Professional		$73.18	$155.59	$377.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $258.63 / $318.50	Professional		$155.72	$258.63	$318.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.88 / $3,178.88 / $6,991.24	Facility		$3,178.88	$3,178.88	$6,991.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $123.71 / $209.63	Professional		$57.68	$123.71	$209.63
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 $111.41 / $159.62 / $262.08	Professional		$111.41	$159.62	$262.08