Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,162.63 / $27,189.80 / $39,303.47	Facility		$5,162.63	$27,189.80	$39,303.47
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $232.24 / $232.24 / $386.19	Facility	53	$232.24	$232.24	$386.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.63 / $1,102.36 / $1,724.77	Professional		$966.63	$1,102.36	$1,724.77
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,710.00 / $26,604.00 / $283,843.75	Facility		$1,710.00	$26,604.00	$283,843.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,949.00 / $51,403.00 / $63,004.00	Facility		$19,949.00	$51,403.00	$63,004.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.83 / $1,606.55 / $3,266.92	Professional		$1,063.83	$1,606.55	$3,266.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.70 / $1,539.13 / $1,712.87	Professional		$1,334.70	$1,539.13	$1,712.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $59,642.95 / $59,642.95 / $113,745.07	Facility		$59,642.95	$59,642.95	$113,745.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $909.89 / $1,147.27 / $2,421.17	Professional		$909.89	$1,147.27	$2,421.17
United Facility/Professional Facility Modifier Low / Median / High Price $6,435.00 / $16,809.00 / $39,588.00	Facility		$6,435.00	$16,809.00	$39,588.00
United Facility/Professional Professional Modifier Low / Median / High Price $880.03 / $1,304.80 / $3,316.42	Professional		$880.03	$1,304.80	$3,316.42