Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $87.37 / $396.32	Facility		$40.42	$87.37	$396.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $37.26 / $96.31	Professional		$14.76	$37.26	$96.31
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,661.40 / $1,661.40 / $1,661.40	Facility		$1,661.40	$1,661.40	$1,661.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $72.56 / $72.56	Facility		$72.56	$72.56	$72.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $57.59 / $184.63	Professional		$14.95	$57.59	$184.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $26.90 / $26.90	Professional		$22.55	$26.90	$26.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $19.78 / $79.62	Professional		$13.59	$19.78	$79.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $22.75 / $94.51	Professional		$14.00	$22.75	$94.51