Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $2,238.50 / $6,986.00	Facility		$84.29	$2,238.50	$6,986.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,100.50 / $3,100.50 / $4,477.00	Facility	50	$3,100.50	$3,100.50	$4,477.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $180.53 / $303.77	Professional		$62.37	$180.53	$303.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $143.19 / $143.19 / $143.19	Professional	50	$143.19	$143.19	$143.19
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 $358.41 / $358.41 / $358.41	Professional	50	$358.41	$358.41	$358.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $203.12 / $537.29	Professional		$76.23	$203.12	$537.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.10 / $388.31 / $751.02	Professional		$239.10	$388.31	$751.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $188.17 / $407.63	Professional		$61.77	$188.17	$407.63
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 $163.81 / $292.45 / $541.24	Professional		$163.81	$292.45	$541.24