Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.35 / $3,374.00 / $9,784.00	Facility		$224.35	$3,374.00	$9,784.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $168.26 / $186.82 / $247.86	Facility	54	$168.26	$186.82	$247.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $249.13 / $452.68	Professional		$215.47	$249.13	$452.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,176.00 / $1,176.00 / $1,176.00	Professional		$1,176.00	$1,176.00	$1,176.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.84 / $362.18 / $786.96	Professional		$239.84	$362.18	$786.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.05 / $375.20 / $449.09	Professional		$244.05	$375.20	$449.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $583.20 / $1,184.44	Facility		$486.18	$583.20	$1,184.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.63 / $306.61 / $633.99	Professional		$236.63	$306.61	$633.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,339.00 / $9,152.00	Facility		$1,200.00	$3,339.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.60 / $357.07 / $898.80	Professional		$223.60	$357.07	$898.80