Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $41.65 / $174.04	Facility		$19.21	$41.65	$174.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $22.22 / $29.69	Professional		$10.77	$22.22	$29.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $25.40 / $25.40	Professional		$25.40	$25.40	$25.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $74.34 / $155.16	Facility		$23.66	$74.34	$155.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $24.29 / $39.24	Professional		$16.23	$24.29	$39.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $18.62 / $27.09	Professional		$13.54	$18.62	$27.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $23.70 / $13,785.00	Facility		$23.70	$23.70	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $23.70 / $23.70	Professional		$23.70	$23.70	$23.70
United Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $20.32 / $36.57	Professional		$13.11	$20.32	$36.57