Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $3,354.04 / $9,784.00	Facility		$118.47	$3,354.04	$9,784.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $428.10 / $1,277.14 / $8,116.50	Facility	50	$428.10	$1,277.14	$8,116.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $122.52 / $215.85	Professional		$97.82	$122.52	$215.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $834.00 / $834.00 / $834.00	Professional	50	$834.00	$834.00	$834.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $122.77 / $324.17	Professional		$122.77	$122.77	$324.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.68 / $184.32 / $457.23	Professional		$120.68	$184.32	$457.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $179.60 / $227.36	Professional		$129.61	$179.60	$227.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $717.67 / $815.96 / $1,368.67	Facility		$717.67	$815.96	$1,368.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.17 / $151.87 / $274.13	Professional		$99.17	$151.87	$274.13
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 $100.07 / $181.39 / $341.71	Professional		$100.07	$181.39	$341.71