Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.87 / $4,025.00 / $9,784.00	Facility		$274.87	$4,025.00	$9,784.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $206.15 / $229.91 / $299.13	Facility	54	$206.15	$229.91	$299.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $304.58 / $536.55	Professional		$259.72	$304.58	$536.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $320.48 / $487.57 / $980.00	Professional		$320.48	$487.57	$980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.76 / $435.42 / $950.66	Professional		$285.76	$435.42	$950.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $291.26 / $461.10 / $523.77	Professional		$291.26	$461.10	$523.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.49 / $583.20 / $1,184.44	Facility		$534.49	$583.20	$1,184.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.66 / $366.45 / $704.51	Professional		$272.66	$366.45	$704.51
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 $265.06 / $406.56 / $914.21	Professional		$265.06	$406.56	$914.21