Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.92 / $2,612.00 / $8,419.00	Facility		$252.92	$2,612.00	$8,419.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $189.69 / $210.85 / $311.31	Facility	54	$189.69	$210.85	$311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.13 / $318.51 / $590.22	Professional		$240.13	$318.51	$590.22
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $180.10 / $239.36 / $411.17	Professional	54	$180.10	$239.36	$411.17
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $606.66 / $1,000.00 / $1,000.00	Professional		$606.66	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.35 / $450.31 / $988.00	Professional		$305.35	$450.31	$988.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $313.97 / $459.30 / $574.39	Professional		$313.97	$459.30	$574.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $561.69 / $1,264.67	Facility		$486.18	$561.69	$1,264.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.51 / $389.35 / $778.35	Professional		$301.51	$389.35	$778.35
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 $272.57 / $408.82 / $1,006.16	Professional		$272.57	$408.82	$1,006.16