Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $15.78 / $67.59	Facility		$5.98	$15.78	$67.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.92 / $10.52	Professional		$5.25	$6.92	$10.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $38.88 / $38.88	Facility		$38.88	$38.88	$38.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $28.87 / $60.26	Facility		$9.19	$28.87	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.36 / $19.10	Professional		$5.05	$6.36	$19.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $7.76 / $8.88	Professional		$6.05	$7.76	$8.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.21 / $8,702.00 / $13,785.00	Facility		$9.21	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $9.21 / $9.21	Professional		$8.64	$9.21	$9.21
United Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $7.89 / $13.41	Professional		$4.59	$7.89	$13.41