Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $4,466.84 / $10,964.78	Facility		$53.70	$4,466.84	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $199.53	Professional		$28.18	$51.29	$199.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $30.20 / $117.49	Professional	50	$30.20	$30.20	$117.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $30.90 / $51.29	Professional		$15.85	$30.90	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $52.48 / $107.15	Professional		$23.99	$52.48	$107.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $44.67	Professional		$30.20	$33.11	$44.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $398.11 / $660.69	Facility		$263.03	$398.11	$660.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $41.69 / $93.33	Professional		$23.99	$41.69	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $38.02 / $72.44	Professional		$21.38	$38.02	$72.44