Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.66 / $4,174.00 / $10,692.00	Facility		$258.66	$4,174.00	$10,692.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $194.00 / $216.46 / $288.24	Facility	54	$194.00	$216.46	$288.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.28 / $288.61 / $491.72	Professional		$244.28	$288.61	$491.72
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $348.17 / $348.17 / $348.17	Professional		$348.17	$348.17	$348.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.31 / $416.33 / $910.83	Professional		$279.31	$416.33	$910.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $285.33 / $434.26 / $520.54	Professional		$285.33	$434.26	$520.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $561.69 / $1,112.21	Facility		$486.18	$561.69	$1,112.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.47 / $357.09 / $694.69	Professional		$274.47	$357.09	$694.69
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 $258.60 / $374.94 / $890.29	Professional		$258.60	$374.94	$890.29