Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.18 / $4,118.00 / $9,842.00	Facility		$265.18	$4,118.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $198.89 / $221.02 / $288.37	Facility	54	$198.89	$221.02	$288.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.62 / $292.08 / $500.40	Professional		$251.62	$292.08	$500.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $561.87 / $561.87 / $561.87	Professional		$561.87	$561.87	$561.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.36 / $421.35 / $914.52	Professional		$279.36	$421.35	$914.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $283.44 / $445.77 / $515.08	Professional		$283.44	$445.77	$515.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.20 / $1,035.08 / $1,112.21	Facility		$583.20	$1,035.08	$1,112.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.32 / $355.92 / $696.94	Professional		$277.32	$355.92	$696.94
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 $256.45 / $368.56 / $874.40	Professional		$256.45	$368.56	$874.40