Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.37 / $4,118.00 / $9,842.00	Facility		$292.37	$4,118.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $219.28 / $242.39 / $315.08	Facility	54	$219.28	$242.39	$315.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $317.11 / $573.12	Professional		$276.68	$317.11	$573.12
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Professional		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.33 / $461.69 / $1,001.82	Professional		$301.33	$461.69	$1,001.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $307.52 / $485.48 / $560.41	Professional		$307.52	$485.48	$560.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.65 / $470.65 / $1,035.08	Facility		$470.65	$470.65	$1,035.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.30 / $388.90 / $764.05	Professional		$291.30	$388.90	$764.05
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 $284.45 / $452.84 / $1,149.03	Professional		$284.45	$452.84	$1,149.03