Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.41 / $4,118.00 / $9,842.00	Facility		$230.41	$4,118.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $172.81 / $190.39 / $258.60	Facility	54	$172.81	$190.39	$258.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $258.70 / $444.40	Professional		$221.28	$258.70	$444.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $503.47 / $503.47 / $503.47	Professional		$503.47	$503.47	$503.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.94 / $376.20 / $818.13	Professional		$252.94	$376.20	$818.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $264.05 / $386.48 / $482.13	Professional		$264.05	$386.48	$482.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.73 / $561.69 / $1,112.21	Facility		$527.73	$561.69	$1,112.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.59 / $324.93 / $623.48	Professional		$245.59	$324.93	$623.48
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 $231.05 / $335.47 / $810.67	Professional		$231.05	$335.47	$810.67