Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.91 / $1,562.23 / $8,084.00	Facility		$107.91	$1,562.23	$8,084.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $43.47 / $55.21 / $86.78	Facility	52	$43.47	$55.21	$86.78
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.39 / $21.58 / $27.10	Facility	53	$17.39	$21.58	$27.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $101.11 / $181.11	Professional		$66.34	$101.11	$181.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.17 / $48.60 / $67.75	Professional	52	$33.17	$48.60	$67.75
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $13.27 / $19.44 / $27.10	Professional	53	$13.27	$19.44	$27.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $93.16 / $146.91 / $279.81	Professional		$93.16	$146.91	$279.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $143.79 / $313.43	Professional		$82.19	$143.79	$313.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $158.02 / $186.18	Professional		$116.06	$158.02	$186.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.24 / $489.09 / $932.71	Facility		$448.24	$489.09	$932.71
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $95.43 / $173.04	Professional		$51.95	$95.43	$173.04
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 $92.38 / $130.65 / $225.48	Professional		$92.38	$130.65	$225.48