Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.00 / $2,942.00 / $6,813.00	Facility		$601.00	$2,942.00	$6,813.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,265.84 / $5,142.00 / $7,342.50	Facility	50	$2,265.84	$5,142.00	$7,342.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.61 / $441.29 / $904.56	Professional		$376.61	$441.29	$904.56
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,936.27 / $8,182.00 / $15,904.00	Facility		$3,936.27	$8,182.00	$15,904.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $482.60 / $482.60 / $5,445.00	Professional		$482.60	$482.60	$5,445.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.23 / $677.49 / $1,649.49	Professional		$394.23	$677.49	$1,649.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $408.52 / $583.69 / $722.52	Professional		$408.52	$583.69	$722.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,831.30 / $4,351.03 / $10,295.07	Facility		$3,831.30	$4,351.03	$10,295.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.80 / $504.19 / $967.20	Professional		$393.80	$504.19	$967.20
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 $336.23 / $604.11 / $1,407.27	Professional		$336.23	$604.11	$1,407.27