Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.58 / $4,118.00 / $9,842.00	Facility		$288.58	$4,118.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $216.44 / $241.82 / $322.02	Facility	54	$216.44	$241.82	$322.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $322.43 / $557.16	Professional		$270.39	$322.43	$557.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.55 / $462.97 / $1,017.20	Professional		$308.55	$462.97	$1,017.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $326.04 / $481.56 / $593.41	Professional		$326.04	$481.56	$593.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.49 / $663.08 / $1,112.21	Facility		$534.49	$663.08	$1,112.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.77 / $404.97 / $798.98	Professional		$304.77	$404.97	$798.98
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 $283.04 / $400.60 / $975.07	Professional		$283.04	$400.60	$975.07