Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $2,232.00 / $6,986.00	Facility		$64.06	$2,232.00	$6,986.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $767.76 / $1,993.50 / $3,100.50	Facility	50	$767.76	$1,993.50	$3,100.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $79.26 / $137.40	Professional		$47.13	$79.26	$137.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $150.00 / $150.00 / $150.00	Professional	50	$150.00	$150.00	$150.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $880.00 / $880.00	Professional		$139.47	$880.00	$880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $114.20 / $284.23	Professional		$57.51	$114.20	$284.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $140.15 / $924.02	Professional		$87.32	$140.15	$924.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $92.51 / $192.21	Professional		$42.73	$92.51	$192.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $120.90 / $242.72	Professional		$72.45	$120.90	$242.72