Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.08 / $4,134.00 / $9,842.00	Facility		$115.08	$4,134.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $86.31 / $87.94 / $118.10	Facility	54	$86.31	$87.94	$118.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $121.23 / $208.73	Professional		$102.88	$121.23	$208.73
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $77.37 / $90.92 / $143.21	Professional	54	$77.37	$90.92	$143.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $173.34 / $378.59	Professional		$112.23	$173.34	$378.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.18 / $163.85 / $201.97	Professional		$108.18	$163.85	$201.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.69 / $583.20 / $1,035.08	Facility		$561.69	$583.20	$1,035.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $141.77 / $284.76	Professional		$107.60	$141.77	$284.76
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 $102.45 / $160.46 / $357.80	Professional		$102.45	$160.46	$357.80