Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.67 / $4,134.00 / $9,842.00	Facility		$242.67	$4,134.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $182.00 / $193.40 / $254.52	Facility	54	$182.00	$193.40	$254.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.57 / $261.70 / $462.92	Professional		$227.57	$261.70	$462.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.72 / $374.04 / $811.82	Professional		$256.72	$374.04	$811.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.76 / $380.49 / $457.63	Professional		$251.76	$380.49	$457.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.73 / $583.20 / $1,264.67	Facility		$527.73	$583.20	$1,264.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.15 / $313.51 / $623.89	Professional		$244.15	$313.51	$623.89
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 $235.44 / $365.42 / $784.20	Professional		$235.44	$365.42	$784.20