Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.93 / $1,379.00 / $6,481.00	Facility		$65.93	$1,379.00	$6,481.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $12.20 / $32.97 / $320.06	Facility	52	$12.20	$32.97	$320.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $63.66 / $95.86	Professional		$25.00	$63.66	$95.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.50 / $30.10 / $47.93	Professional	52	$12.50	$30.10	$47.93
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $382.90 / $10,559.20 / $14,661.39	Facility		$382.90	$10,559.20	$14,661.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $80.80 / $204.77	Professional		$29.58	$80.80	$204.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $93.06 / $114.59	Professional		$45.10	$93.06	$114.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.22 / $313.39 / $556.20	Facility		$287.22	$313.39	$556.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $55.60 / $105.68	Professional		$20.20	$55.60	$105.68
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 $49.71 / $69.51 / $150.30	Professional		$49.71	$69.51	$150.30