Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.86 / $5,461.00 / $9,842.00	Facility		$201.86	$5,461.00	$9,842.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,536.68 / $4,373.25 / $9,346.50	Facility	50	$1,536.68	$4,373.25	$9,346.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $158.74 / $280.12	Professional		$139.41	$158.74	$280.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $113.58 / $1,225.50 / $1,225.50	Professional	50	$113.58	$1,225.50	$1,225.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,816.74 / $8,182.00 / $15,278.60	Facility		$1,816.74	$8,182.00	$15,278.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.35 / $256.08 / $526.67	Professional		$122.35	$256.08	$526.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $186.15 / $254.52 / $299.50	Professional		$186.15	$254.52	$299.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,300.49 / $3,601.29 / $6,868.01	Facility		$3,300.49	$3,601.29	$6,868.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $167.79 / $294.02	Professional		$126.60	$167.79	$294.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $156.40 / $309.41	Professional		$90.04	$156.40	$309.41