Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.03 / $3,384.00 / $9,784.00	Facility		$250.03	$3,384.00	$9,784.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $187.52 / $209.66 / $275.10	Facility	54	$187.52	$209.66	$275.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.82 / $276.16 / $469.18	Professional		$231.82	$276.16	$469.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.52 / $399.29 / $871.24	Professional		$264.52	$399.29	$871.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $272.10 / $420.27 / $494.12	Professional		$272.10	$420.27	$494.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $583.20 / $1,035.08	Facility		$486.18	$583.20	$1,035.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.35 / $340.43 / $687.26	Professional		$262.35	$340.43	$687.26
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 $246.02 / $373.57 / $880.94	Professional		$246.02	$373.57	$880.94