Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.19 / $4,540.00 / $10,202.00	Facility		$457.19	$4,540.00	$10,202.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $342.89 / $342.89 / $433.67	Facility	54	$342.89	$342.89	$433.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.36 / $458.24 / $785.18	Professional		$395.36	$458.24	$785.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.26 / $653.13 / $1,393.23	Professional		$462.26	$653.13	$1,393.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $432.78 / $675.72 / $764.73	Professional		$432.78	$675.72	$764.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,139.98 / $3,565.92 / $7,902.25	Facility		$3,139.98	$3,565.92	$7,902.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.69 / $578.78 / $1,139.51	Professional		$422.69	$578.78	$1,139.51
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 $385.73 / $571.00 / $1,360.39	Professional		$385.73	$571.00	$1,360.39