Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.51 / $3,979.00 / $8,256.56	Facility		$124.51	$3,979.00	$8,256.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,689.24 / $4,642.79 / $8,811.00	Facility	50	$2,689.24	$4,642.79	$8,811.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $229.66 / $378.43	Professional		$115.55	$229.66	$378.43
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,686.40 / $1,686.40 / $1,686.40	Professional		$1,686.40	$1,686.40	$1,686.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $292.14 / $774.92	Professional		$143.82	$292.14	$774.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $243.09 / $409.25 / $422.39	Professional		$243.09	$409.25	$422.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.40 / $2,164.46 / $2,460.94	Facility		$1,804.40	$2,164.46	$2,460.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $253.22 / $548.90	Professional		$119.63	$253.22	$548.90
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 $213.99 / $349.59 / $779.28	Professional		$213.99	$349.59	$779.28