Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $112.83 / $441.47	Facility		$48.03	$112.83	$441.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $57.68 / $78.48	Professional		$46.71	$57.68	$78.48
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $99.28 / $308.61 / $1,323.17	Facility		$99.28	$308.61	$1,323.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.91 / $216.52 / $449.57	Facility		$95.91	$216.52	$449.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $56.61 / $112.75	Professional		$42.12	$56.61	$112.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $57.88 / $72.75	Professional		$45.13	$57.88	$72.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $8,702.00 / $13,785.00	Facility		$68.68	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $68.68 / $68.68	Professional		$58.92	$68.68	$68.68
United Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $53.96 / $98.00	Facility		$53.96	$53.96	$98.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $58.87 / $100.07	Professional		$37.99	$58.87	$100.07