Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.28 / $6,986.00 / $12,831.00	Facility		$856.28	$6,986.00	$12,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $642.21 / $642.21 / $848.24	Facility	54	$642.21	$642.21	$848.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.73 / $897.13 / $1,449.97	Professional		$711.73	$897.13	$1,449.97
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $110.76 / $134.19 / $217.50	Professional	55	$110.76	$134.19	$217.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $978.86 / $978.86 / $978.86	Professional		$978.86	$978.86	$978.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.71 / $1,092.19 / $2,626.67	Professional		$712.71	$1,092.19	$2,626.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $878.75 / $1,400.51	Professional		$300.00	$878.75	$1,400.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,474.74 / $5,544.92 / $12,024.06	Facility		$4,474.74	$5,544.92	$12,024.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.57 / $1,018.17 / $1,461.48	Professional		$743.57	$1,018.17	$1,461.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,250.00 / $10,536.00	Facility		$3,885.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.64 / $874.79 / $1,747.00	Professional		$650.64	$874.79	$1,747.00