Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.86 / $3,110.00 / $9,383.00	Facility		$206.86	$3,110.00	$9,383.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $155.15 / $156.13 / $209.64	Facility	54	$155.15	$156.13	$209.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $221.22 / $395.11	Professional		$184.84	$221.22	$395.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $250.52 / $393.15	Professional		$250.52	$250.52	$393.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.33 / $312.87 / $671.46	Professional		$218.33	$312.87	$671.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $206.18 / $311.60 / $377.65	Professional		$206.18	$311.60	$377.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.65 / $527.73 / $1,184.44	Facility		$470.65	$527.73	$1,184.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.87 / $262.31 / $555.76	Professional		$206.87	$262.31	$555.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.03 / $278.55 / $663.58	Professional		$188.03	$278.55	$663.58