Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $32.36 / $123.03	Facility		$25.12	$32.36	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $32.36	Professional		$10.72	$15.14	$32.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $43.65 / $89.13	Facility		$19.05	$43.65	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.22 / $30.20	Professional		$10.96	$16.22	$30.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $19.05	Professional		$7.76	$9.77	$19.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $10,471.29 / $25,118.86	Facility		$19.50	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.49 / $19.05	Professional		$11.75	$15.49	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $19.50 / $39.81	Facility		$9.12	$19.50	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.75 / $25.12	Professional		$7.59	$11.75	$25.12