Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $57.54 / $123.03	Facility		$25.70	$57.54	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $38.90	Professional		$15.14	$18.20	$38.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $37.15	Professional		$15.14	$15.14	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $44.67 / $93.33	Facility		$19.95	$44.67	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.95 / $30.90	Professional		$13.18	$19.95	$30.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.23 / $22.91	Professional		$8.13	$10.23	$22.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $9,549.93 / $25,118.86	Facility		$20.42	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $18.62 / $22.91	Professional		$17.78	$18.62	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $20.42 / $41.69	Facility		$9.55	$20.42	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.30 / $29.51	Professional		$7.76	$12.30	$29.51