Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.50 / $2,626.00 / $8,419.00	Facility		$58.50	$2,626.00	$8,419.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $850.63 / $2,990.25 / $2,990.25	Facility	50	$850.63	$2,990.25	$2,990.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $79.68 / $136.91	Professional		$47.73	$79.68	$136.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $139.47 / $139.47	Professional		$139.47	$139.47	$139.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $114.50 / $278.11	Professional		$58.36	$114.50	$278.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $113.66 / $142.27	Professional		$81.63	$113.66	$142.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $91.59 / $209.52	Professional		$44.41	$91.59	$209.52
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 $75.48 / $122.65 / $261.42	Professional		$75.48	$122.65	$261.42