Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $181.97 / $549.54	Facility		$69.18	$181.97	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $173.78	Professional		$36.31	$56.23	$173.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $138.04	Professional		$40.74	$40.74	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $120.23 / $251.19	Facility		$52.48	$120.23	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $51.29 / $67.61	Professional		$19.95	$51.29	$67.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $32.36	Professional		$21.88	$25.70	$32.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $10,471.29 / $25,118.86	Facility		$53.70	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $47.86	Professional		$28.84	$36.31	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $53.70 / $112.20	Facility		$25.70	$53.70	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $56.23	Professional		$21.88	$32.36	$56.23