Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $46.77 / $141.25	Facility		$19.50	$46.77	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $60.26	Professional		$14.13	$18.20	$60.26
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $32.36	Professional		$14.79	$14.79	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $43.65 / $91.20	Facility		$19.05	$43.65	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $28.18	Professional		$11.48	$16.22	$28.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.33 / $22.39	Professional		$5.25	$9.33	$22.39
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 $17.38 / $17.78 / $21.88	Professional		$17.38	$17.78	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $19.50 / $40.74	Facility		$9.33	$19.50	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.75 / $28.84	Professional		$7.94	$11.75	$28.84