Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $2,033.92 / $8,419.00	Facility		$79.00	$2,033.92	$8,419.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $14,019.75 / $14,019.75 / $14,019.75	Facility	50	$14,019.75	$14,019.75	$14,019.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $106.26 / $171.12	Professional		$60.43	$106.26	$171.12
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $74.00 / $181.11	Professional		$59.26	$74.00	$181.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $137.99 / $358.36	Professional		$70.70	$137.99	$358.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.22 / $204.87 / $210.87	Professional		$101.22	$204.87	$210.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,746.73 / $1,958.61 / $4,395.92	Facility		$1,746.73	$1,958.61	$4,395.92
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $110.73 / $243.96	Professional		$53.27	$110.73	$243.96
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 $106.58 / $174.53 / $402.30	Professional		$106.58	$174.53	$402.30