Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.92 / $4,174.00 / $9,860.00	Facility		$482.92	$4,174.00	$9,860.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,968.50 / $5,968.50 / $5,968.50	Facility	50	$5,968.50	$5,968.50	$5,968.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $454.27 / $746.68	Professional		$232.76	$454.27	$746.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $639.87 / $639.87 / $639.87	Professional	50	$639.87	$639.87	$639.87
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $249.65 / $425.41 / $1,012.38	Professional		$249.65	$425.41	$1,012.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.26 / $597.77 / $1,442.92	Professional		$180.26	$597.77	$1,442.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $270.68 / $287.49 / $676.29	Professional		$270.68	$287.49	$676.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,333.77 / $1,333.77 / $2,708.77	Facility		$1,333.77	$1,333.77	$2,708.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.05 / $604.79 / $824.43	Professional		$409.05	$604.79	$824.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $3,961.00 / $10,536.00	Facility		$2,284.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.07 / $500.38 / $989.37	Professional		$202.07	$500.38	$989.37