Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $6,456.54 / $11,748.98	Facility		$165.96	$6,456.54	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $229.09	Professional		$77.62	$109.65	$229.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $194.98 / $549.54	Professional	50	$147.91	$194.98	$549.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $288.40	Professional		$64.57	$117.49	$288.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $154.88	Professional		$85.11	$114.82	$154.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,230.27 / $2,089.30	Facility		$812.83	$1,230.27	$2,089.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $234.42	Professional		$64.57	$107.15	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $7,762.47	Facility		$1,380.38	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $177.83	Professional		$60.26	$95.50	$177.83