Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $15.50 / $41.18	Facility		$3.93	$15.50	$41.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $3.36 / $10.19	Professional		$2.92	$3.36	$10.19
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $36.65 / $517.52	Facility		$8.91	$36.65	$517.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $5.36 / $5.36	Professional		$5.36	$5.36	$5.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $8.66 / $18.01	Facility		$2.74	$8.66	$18.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.18 / $5.68	Professional		$2.54	$3.18	$5.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.31 / $3.93	Professional		$1.81	$2.31	$3.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $13,785.00 / $13,785.00	Facility		$2.75	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.61	Professional		$2.75	$2.75	$3.61
United Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $2.16 / $2.16	Facility		$2.16	$2.16	$2.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.54 / $5.42	Professional		$1.77	$2.54	$5.42