Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $38.02 / $128.82	Facility		$13.18	$38.02	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $25.70	Professional		$8.91	$12.02	$25.70
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $141.25	Facility		$95.50	$95.50	$141.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $29.51 / $60.26	Facility		$12.88	$29.51	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.48 / $19.05	Professional		$8.71	$11.48	$19.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.61 / $15.14	Professional		$5.37	$6.61	$15.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $10,715.19 / $25,118.86	Facility		$13.18	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $14.79	Professional		$7.94	$12.02	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $13.18 / $27.54	Facility		$6.31	$13.18	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.94 / $19.50	Professional		$5.37	$7.94	$19.50