Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.32 / $4,174.00 / $10,692.00	Facility		$50.32	$4,174.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $53.60 / $84.87	Professional		$36.93	$53.60	$84.87
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Professional		$21.20	$21.20	$21.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $62.68 / $152.62	Professional		$28.85	$62.68	$152.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $44.39 / $104.43	Professional		$37.11	$44.39	$104.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.90 / $1,103.02 / $2,103.73	Facility		$782.90	$1,103.02	$2,103.73
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $49.65 / $85.64	Professional		$29.78	$49.65	$85.64
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 $31.35 / $56.70 / $109.97	Professional		$31.35	$56.70	$109.97