Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $62.48 / $251.35	Facility		$24.99	$62.48	$251.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $27.07 / $28.92	Professional		$24.23	$27.07	$28.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $24.23 / $51.93	Professional		$24.23	$24.23	$51.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $71.45 / $148.01	Facility		$22.57	$71.45	$148.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $26.50 / $46.46	Professional		$20.65	$26.50	$46.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $17.77 / $25.84	Professional		$12.92	$17.77	$25.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $8,702.00 / $13,785.00	Facility		$22.61	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $22.61 / $29.69	Professional		$22.61	$22.61	$29.69
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $19.38 / $45.13	Professional		$13.57	$19.38	$45.13