Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $3,604.52 / $8,419.00	Facility		$77.62	$3,604.52	$8,419.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,618.44 / $7,000.38 / $8,620.50	Facility	50	$3,618.44	$7,000.38	$8,620.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $172.87 / $268.38	Professional		$72.40	$172.87	$268.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $410.00 / $410.00	Professional		$410.00	$410.00	$410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $202.78 / $561.21	Professional		$90.36	$202.78	$561.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $211.50 / $351.35 / $363.91	Professional		$211.50	$351.35	$363.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.40 / $2,164.46 / $4,693.64	Facility		$1,804.40	$2,164.46	$4,693.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $215.35 / $401.92	Professional		$68.98	$215.35	$401.92
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 $172.17 / $301.19 / $570.04	Professional		$172.17	$301.19	$570.04