Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.78 / $4,118.00 / $9,842.00	Facility		$221.78	$4,118.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $166.34 / $185.87 / $248.41	Facility	54	$166.34	$185.87	$248.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.16 / $247.82 / $438.92	Professional		$213.16	$247.82	$438.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.92 / $357.75 / $789.16	Professional		$236.92	$357.75	$789.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.05 / $369.51 / $450.81	Professional		$244.05	$369.51	$450.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.20 / $583.20 / $1,184.44	Facility		$583.20	$583.20	$1,184.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.08 / $307.50 / $656.63	Professional		$234.08	$307.50	$656.63
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 $218.63 / $304.33 / $765.22	Professional		$218.63	$304.33	$765.22