Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $5,888.44 / $11,220.18	Facility		$173.78	$5,888.44	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $181.97	Professional		$50.12	$70.79	$181.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	50	$107.15	$107.15	$107.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $93.33	Professional		$74.13	$74.13	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $186.21	Professional		$43.65	$75.86	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $107.15	Professional		$58.88	$81.28	$107.15
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 $41.69 / $77.62 / $138.04	Professional		$41.69	$77.62	$138.04
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 $39.81 / $63.10 / $117.49	Professional		$39.81	$63.10	$117.49