Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.12 / $2,626.00 / $9,383.00	Facility		$307.12	$2,626.00	$9,383.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.34 / $251.83 / $328.05	Facility	54	$230.34	$251.83	$328.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.92 / $330.57 / $564.72	Professional		$276.92	$330.57	$564.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.81 / $480.26 / $1,041.85	Professional		$319.81	$480.26	$1,041.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $322.30 / $503.56 / $582.23	Professional		$322.30	$503.56	$582.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.69 / $583.20 / $1,112.21	Facility		$561.69	$583.20	$1,112.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.55 / $402.49 / $797.14	Professional		$313.55	$402.49	$797.14
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 $286.75 / $402.15 / $1,006.90	Professional		$286.75	$402.15	$1,006.90