Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.87 / $2,612.00 / $8,084.00	Facility		$296.87	$2,612.00	$8,084.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $222.65 / $249.02 / $316.77	Facility	54	$222.65	$249.02	$316.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $321.70 / $584.20	Professional		$276.31	$321.70	$584.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.85 / $462.03 / $1,001.76	Professional		$311.85	$462.03	$1,001.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $317.62 / $511.11 / $572.20	Professional		$317.62	$511.11	$572.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.65 / $470.65 / $1,112.21	Facility		$470.65	$470.65	$1,112.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.44 / $394.95 / $766.24	Professional		$294.44	$394.95	$766.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,339.00 / $9,152.00	Facility		$1,200.00	$3,339.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.94 / $454.03 / $989.80	Professional		$285.94	$454.03	$989.80