Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.78 / $2,293.00 / $8,419.00	Facility		$39.78	$2,293.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $72.30 / $105.78	Professional		$33.15	$72.30	$105.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.57 / $36.15 / $52.35	Professional	52	$16.57	$36.15	$52.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $73.59 / $73.59	Professional		$73.59	$73.59	$73.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $100.58 / $244.00	Professional		$37.84	$100.58	$244.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $114.43 / $140.72	Professional		$54.32	$114.43	$140.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.18 / $477.18 / $591.29	Facility		$477.18	$477.18	$591.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $73.12 / $128.30	Professional		$24.51	$73.12	$128.30
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 $58.14 / $77.23 / $176.70	Professional		$58.14	$77.23	$176.70