Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.07 / $3,297.00 / $9,784.00	Facility		$188.07	$3,297.00	$9,784.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $141.05 / $157.97 / $205.69	Facility	54	$141.05	$157.97	$205.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.38 / $200.94 / $361.69	Professional		$176.38	$200.94	$361.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.67 / $294.25 / $642.65	Professional		$196.67	$294.25	$642.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.85 / $316.04 / $351.78	Professional		$192.85	$316.04	$351.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.20 / $583.20 / $583.20	Facility		$583.20	$583.20	$583.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.65 / $247.63 / $466.68	Professional		$187.65	$247.63	$466.68
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 $179.08 / $296.99 / $640.60	Professional		$179.08	$296.99	$640.60