Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.22 / $2,612.00 / $6,931.50	Facility		$367.22	$2,612.00	$6,931.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,351.48 / $4,983.75 / $9,154.50	Facility	50	$1,351.48	$4,983.75	$9,154.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.56 / $397.62 / $715.20	Professional		$190.56	$397.62	$715.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.10 / $338.10 / $4,764.38	Professional	50	$338.10	$338.10	$4,764.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $4,041.79 / $5,949.29	Facility		$1,275.00	$4,041.79	$5,949.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.15 / $501.86 / $1,277.49	Professional		$249.15	$501.86	$1,277.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,161.00 / $8,161.00 / $8,161.00	Facility		$8,161.00	$8,161.00	$8,161.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $493.67 / $672.64 / $1,139.96	Professional		$493.67	$672.64	$1,139.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,831.30 / $4,296.03 / $10,295.07	Facility		$3,831.30	$4,296.03	$10,295.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.29 / $411.71 / $881.74	Professional		$189.29	$411.71	$881.74
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 $362.29 / $581.85 / $1,160.07	Professional		$362.29	$581.85	$1,160.07