Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $35.58 / $143.41	Facility		$14.23	$35.58	$143.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $15.14 / $21.49	Professional		$13.66	$15.14	$21.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $33.36	Professional		$33.36	$33.36	$33.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $40.42 / $84.27	Facility		$12.85	$40.42	$84.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $15.05 / $26.33	Professional		$11.76	$15.05	$26.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $10.85 / $18.39	Professional		$8.46	$10.85	$18.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $4,207.00 / $13,785.00	Facility		$12.87	$4,207.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $12.87 / $16.89	Professional		$12.87	$12.87	$16.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $11.03 / $27.25	Professional		$7.36	$11.03	$27.25