Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.62 / $4,049.00 / $9,784.00	Facility		$137.62	$4,049.00	$9,784.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $605.88 / $689.66 / $837.45	Facility	50	$605.88	$689.66	$837.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $141.87 / $222.17	Professional		$117.55	$141.87	$222.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $253.86 / $253.86 / $946.22	Professional	50	$253.86	$253.86	$946.22
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $414.08 / $414.08 / $414.08	Professional		$414.08	$414.08	$414.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $202.06 / $505.31	Professional		$121.64	$202.06	$505.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $124.43 / $218.81 / $219.08	Professional		$124.43	$218.81	$219.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.15 / $579.15 / $1,457.55	Facility		$579.15	$579.15	$1,457.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $154.33 / $349.06	Professional		$101.26	$154.33	$349.06
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 $114.09 / $188.68 / $381.39	Professional		$114.09	$188.68	$381.39