Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.69 / $1,359.00 / $8,084.00	Facility		$141.69	$1,359.00	$8,084.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $106.28 / $115.72 / $154.40	Facility	54	$106.28	$115.72	$154.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $148.78 / $281.16	Professional		$131.94	$148.78	$281.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.29 / $218.86 / $480.36	Professional		$143.29	$218.86	$480.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $217.19 / $272.50	Professional		$147.69	$217.19	$272.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.20 / $663.08 / $1,112.21	Facility		$583.20	$663.08	$1,112.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.79 / $190.83 / $357.41	Professional		$135.79	$190.83	$357.41
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 $136.13 / $220.75 / $592.50	Professional		$136.13	$220.75	$592.50