Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.54 / $2,087.00 / $8,419.00	Facility		$81.54	$2,087.00	$8,419.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $528.02 / $528.02 / $528.02	Facility	50	$528.02	$528.02	$528.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $118.62 / $188.87	Professional		$61.75	$118.62	$188.87
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $87.00 / $277.50	Professional		$63.19	$87.00	$277.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $167.35 / $423.00	Professional		$73.76	$167.35	$423.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.36 / $227.54 / $249.17	Professional		$114.36	$227.54	$249.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,403.56 / $1,683.65 / $3,419.40	Facility		$1,403.56	$1,683.65	$3,419.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $125.21 / $287.35	Professional		$49.01	$125.21	$287.35
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 $110.90 / $192.54 / $383.05	Professional		$110.90	$192.54	$383.05