Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.50 / $2,915.41 / $8,155.00	Facility		$282.50	$2,915.41	$8,155.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $211.88 / $233.04 / $303.48	Facility	54	$211.88	$233.04	$303.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $310.72 / $552.04	Professional		$266.07	$310.72	$552.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.83 / $444.06 / $965.51	Professional		$294.83	$444.06	$965.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $307.75 / $468.92 / $554.04	Professional		$307.75	$468.92	$554.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $527.73 / $1,184.44	Facility		$486.18	$527.73	$1,184.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.43 / $379.97 / $730.01	Professional		$279.43	$379.97	$730.01
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 $238.12 / $374.03 / $854.93	Professional		$238.12	$374.03	$854.93