Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.57 / $4,118.00 / $9,842.00	Facility		$288.57	$4,118.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $216.43 / $234.66 / $309.07	Facility	54	$216.43	$234.66	$309.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.73 / $317.36 / $563.45	Professional		$271.73	$317.36	$563.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.12 / $457.73 / $986.54	Professional		$311.12	$457.73	$986.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.64 / $473.29 / $562.99	Professional		$309.64	$473.29	$562.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.73 / $527.73 / $1,264.67	Facility		$527.73	$527.73	$1,264.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.80 / $385.19 / $770.18	Professional		$299.80	$385.19	$770.18
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 $275.70 / $418.22 / $996.52	Professional		$275.70	$418.22	$996.52