Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.24 / $4,049.00 / $10,692.00	Facility		$47.24	$4,049.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $69.81 / $107.63	Professional		$42.04	$69.81	$107.63
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.02 / $33.54 / $47.00	Professional	52	$21.02	$33.54	$47.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.41 / $13.42 / $18.80	Professional	53	$8.41	$13.42	$18.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Professional		$81.70	$81.70	$81.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $96.42 / $214.47	Professional		$47.22	$96.42	$214.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $112.83 / $137.97	Professional		$84.75	$112.83	$137.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $394.69 / $394.69 / $489.09	Facility		$394.69	$394.69	$489.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $66.63 / $116.57	Professional		$37.71	$66.63	$116.57
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 $66.63 / $95.46 / $157.44	Professional		$66.63	$95.46	$157.44