Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.53 / $2,171.00 / $6,986.00	Facility		$73.53	$2,171.00	$6,986.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,390.16 / $2,990.25 / $5,874.00	Facility	50	$2,390.16	$2,990.25	$5,874.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $162.63 / $284.23	Professional		$54.38	$162.63	$284.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.52 / $2,079.00 / $2,376.00	Professional	50	$124.52	$2,079.00	$2,376.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,148.09 / $2,110.73 / $6,790.00	Facility		$1,148.09	$2,110.73	$6,790.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.93 / $182.44 / $504.50	Professional		$66.93	$182.44	$504.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $225.83 / $337.96 / $378.12	Professional		$225.83	$337.96	$378.12
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $171.80 / $355.09	Professional		$50.46	$171.80	$355.09
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 $140.30 / $266.01 / $540.51	Professional		$140.30	$266.01	$540.51