Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.76 / $1,454.00 / $15,529.00	Facility		$80.76	$1,454.00	$15,529.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $998.00 / $1,359.00 / $1,359.00	Facility	50	$998.00	$1,359.00	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $87.68 / $148.82	Professional		$54.04	$87.68	$148.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.98 / $342.98 / $342.98	Professional	50	$342.98	$342.98	$342.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $91.50	Professional		$26.92	$26.92	$91.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $127.16 / $340.73	Professional		$66.89	$127.16	$340.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.10 / $183.66	Professional		$79.43	$147.10	$183.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,523.51 / $1,683.65 / $3,650.97	Facility		$1,523.51	$1,683.65	$3,650.97
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $89.02 / $196.33	Professional		$43.67	$89.02	$196.33
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 $66.81 / $129.21 / $276.45	Professional		$66.81	$129.21	$276.45