Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.81 / $171.23 / $648.09	Facility		$87.81	$171.23	$648.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $100.10 / $140.83	Professional		$87.81	$100.10	$140.83
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $531.00 / $531.00 / $531.00	Facility		$531.00	$531.00	$531.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.89 / $267.77 / $557.35	Facility		$118.89	$267.77	$557.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $141.71 / $339.96	Professional		$80.31	$141.71	$339.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $127.71 / $176.36	Professional		$85.14	$127.71	$176.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,207.00 / $13,785.00 / $13,785.00	Facility		$4,207.00	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $66.90 / $135.00	Facility		$66.90	$66.90	$135.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $72.98 / $165.92	Professional		$51.08	$72.98	$165.92