Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.67 / $1,691.36 / $7,889.00	Facility		$571.67	$1,691.36	$7,889.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $428.76 / $454.16 / $511.14	Facility	54	$428.76	$454.16	$511.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.06 / $555.79 / $919.20	Professional		$488.06	$555.79	$919.20
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,338.06 / $1,800.00	Facility		$525.00	$1,338.06	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.89 / $769.58 / $1,629.02	Professional		$526.89	$769.58	$1,629.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $502.03 / $827.21 / $890.27	Professional		$502.03	$827.21	$890.27
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,747.41 / $3,890.91 / $7,420.39	Facility		$3,747.41	$3,890.91	$7,420.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.78 / $625.62 / $1,382.30	Professional		$488.78	$625.62	$1,382.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.40 / $756.63 / $1,866.36	Professional		$466.40	$756.63	$1,866.36