Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $4,134.00 / $9,842.00	Facility		$261.02	$4,134.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $195.77 / $216.93 / $290.12	Facility	54	$195.77	$216.93	$290.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.28 / $289.66 / $524.97	Professional		$250.28	$289.66	$524.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Professional		$1,200.00	$1,200.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.16 / $423.48 / $920.06	Professional		$281.16	$423.48	$920.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $287.70 / $431.35 / $521.29	Professional		$287.70	$431.35	$521.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $527.73 / $583.20	Facility		$486.18	$527.73	$583.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.45 / $358.51 / $689.25	Professional		$278.45	$358.51	$689.25
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 $258.20 / $385.75 / $927.62	Professional		$258.20	$385.75	$927.62