Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.08 / $4,118.00 / $9,842.00	Facility		$223.08	$4,118.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $167.31 / $169.59 / $226.22	Facility	54	$167.31	$169.59	$226.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $235.77 / $402.20	Professional		$200.02	$235.77	$402.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $4,617.75	Professional		$720.00	$720.00	$4,617.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.85 / $330.76 / $719.73	Professional		$230.85	$330.76	$719.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $217.93 / $331.76 / $396.00	Professional		$217.93	$331.76	$396.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $1,035.08 / $1,264.67	Facility		$486.18	$1,035.08	$1,264.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.98 / $282.35 / $588.02	Professional		$220.98	$282.35	$588.02
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 $197.16 / $309.56 / $662.53	Professional		$197.16	$309.56	$662.53