Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.17 / $4,105.00 / $9,784.00	Facility		$229.17	$4,105.00	$9,784.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $171.88 / $193.04 / $262.77	Facility	54	$171.88	$193.04	$262.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.91 / $260.58 / $470.29	Professional		$220.91	$260.58	$470.29
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $518.80 / $880.00 / $880.00	Professional		$518.80	$880.00	$880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.95 / $379.87 / $831.52	Professional		$254.95	$379.87	$831.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.42 / $393.88 / $491.45	Professional		$269.42	$393.88	$491.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $534.49 / $1,112.21	Facility		$486.18	$534.49	$1,112.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.84 / $332.29 / $626.33	Professional		$241.84	$332.29	$626.33
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 $242.59 / $348.90 / $859.61	Professional		$242.59	$348.90	$859.61