Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.09 / $1,332.00 / $6,489.00	Facility		$95.09	$1,332.00	$6,489.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $394.02 / $2,560.00 / $6,715.50	Facility	50	$394.02	$2,560.00	$6,715.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $73.98 / $121.36	Professional		$41.93	$73.98	$121.36
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,395.23 / $2,395.23 / $2,395.23	Facility		$2,395.23	$2,395.23	$2,395.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $36.82 / $84.00	Professional		$36.82	$36.82	$84.00
AmeriHealth Facility/Professional Professional Modifier 50 Low / Median / High Price $59.05 / $59.05 / $205.64	Professional	50	$59.05	$59.05	$205.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $103.01 / $264.20	Professional		$52.45	$103.01	$264.20
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 $86.16 / $114.43 / $704.08	Professional		$86.16	$114.43	$704.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,358.71 / $1,358.71 / $3,650.97	Facility		$1,358.71	$1,358.71	$3,650.97
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.33 / $81.42 / $185.66	Professional		$36.33	$81.42	$185.66
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 $67.45 / $116.59 / $272.66	Professional		$67.45	$116.59	$272.66