Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.70 / $1,283.00 / $6,438.00	Facility		$269.70	$1,283.00	$6,438.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $130.08 / $142.88 / $196.74	Facility	52	$130.08	$142.88	$196.74
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $195.11 / $214.32 / $295.10	Facility	54	$195.11	$214.32	$295.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.24 / $294.98 / $517.19	Professional		$247.24	$294.98	$517.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $424.70 / $934.02	Professional		$294.00	$424.70	$934.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $304.33 / $449.24 / $557.32	Professional		$304.33	$449.24	$557.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.20 / $583.20 / $583.20	Facility		$583.20	$583.20	$583.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.51 / $369.95 / $711.24	Professional		$279.51	$369.95	$711.24
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 $236.72 / $376.24 / $890.79	Professional		$236.72	$376.24	$890.79