Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.59 / $3,259.00 / $6,441.00	Facility		$186.59	$3,259.00	$6,441.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $883.00 / $4,881.13 / $7,218.75	Facility	50	$883.00	$4,881.13	$7,218.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $155.43 / $263.01	Professional		$82.96	$155.43	$263.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.32 / $250.00 / $250.00	Professional	50	$138.32	$250.00	$250.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $275.66 / $660.00 / $660.00	Professional		$275.66	$660.00	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $214.21 / $572.76	Professional		$101.71	$214.21	$572.76
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 $170.48 / $275.58 / $1,539.59	Professional		$170.48	$275.58	$1,539.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,164.46 / $2,460.94 / $4,693.64	Facility		$2,164.46	$2,460.94	$4,693.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $172.24 / $369.07	Professional		$74.70	$172.24	$369.07
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 $157.61 / $255.42 / $518.51	Professional		$157.61	$255.42	$518.51