Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $93.33 / $323.59	Facility		$70.79	$93.33	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $131.83 / $363.08	Facility		$48.98	$131.83	$363.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $22.91	Professional		$15.85	$19.50	$22.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $10,471.29 / $25,703.96	Facility		$28.18	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $10.47	Professional		$7.24	$7.24	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.49 / $75.86	Facility		$8.32	$15.49	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.79 / $19.95	Professional		$9.33	$14.79	$19.95