Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.99 / $4,118.00 / $9,842.00	Facility		$201.99	$4,118.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $151.49 / $170.70 / $224.92	Facility	54	$151.49	$170.70	$224.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $221.19 / $379.43	Professional		$190.53	$221.19	$379.43
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Professional		$360.00	$360.00	$360.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.02 / $322.91 / $703.01	Professional		$214.02	$322.91	$703.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $220.40 / $345.30 / $399.77	Professional		$220.40	$345.30	$399.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $561.69 / $1,264.67	Facility		$486.18	$561.69	$1,264.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.66 / $279.52 / $523.46	Professional		$207.66	$279.52	$523.46
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 $205.41 / $294.35 / $723.01	Professional		$205.41	$294.35	$723.01