Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.58 / $3,852.74 / $6,986.00	Facility		$280.58	$3,852.74	$6,986.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,156.00 / $5,167.50 / $9,154.50	Facility	50	$2,156.00	$5,167.50	$9,154.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.60 / $390.97 / $664.75	Professional		$190.60	$390.97	$664.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $345.12 / $345.12 / $345.12	Professional	50	$345.12	$345.12	$345.12
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Professional		$1,200.00	$1,200.00	$1,200.00
AmeriHealth Facility/Professional Professional Modifier 50 Low / Median / High Price $1,161.80 / $1,161.80 / $1,161.80	Professional	50	$1,161.80	$1,161.80	$1,161.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.09 / $502.51 / $1,295.36	Professional		$253.09	$502.51	$1,295.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.91 / $667.17 / $2,595.06	Professional		$501.91	$667.17	$2,595.06
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,831.30 / $4,296.03 / $9,642.04	Facility		$3,831.30	$4,296.03	$9,642.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $416.05 / $877.16	Professional		$205.28	$416.05	$877.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.13 / $576.20 / $1,148.61	Professional		$307.13	$576.20	$1,148.61