Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.48 / $3,644.11 / $5,841.00	Facility		$463.48	$3,644.11	$5,841.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.05 / $32.65 / $62.10	Facility	53	$22.05	$32.65	$62.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $222.07 / $317.50	Professional		$92.91	$222.07	$317.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,128.90 / $2,110.73 / $5,253.00	Facility		$1,128.90	$2,110.73	$5,253.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $250.88 / $332.36 / $878.08	Professional		$250.88	$332.36	$878.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.27 / $249.89 / $664.61	Professional		$111.27	$249.89	$664.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,161.00 / $8,161.00 / $8,161.00	Facility		$8,161.00	$8,161.00	$8,161.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $395.65 / $1,488.64	Professional		$261.95	$395.65	$1,488.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,358.71 / $1,523.51 / $3,419.40	Facility		$1,358.71	$1,523.51	$3,419.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.06 / $256.79 / $510.11	Professional		$95.06	$256.79	$510.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.83 / $338.67 / $720.36	Professional		$193.83	$338.67	$720.36