Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $92.52 / $9,950.00	Facility		$13.93	$92.52	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $15.30 / $20.09	Professional		$13.36	$15.30	$20.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $32.65	Professional		$32.65	$32.65	$32.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $39.70 / $82.48	Facility		$12.58	$39.70	$82.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $14.84 / $25.81	Professional		$11.60	$14.84	$25.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $10.62 / $18.00	Professional		$8.27	$10.62	$18.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $13,785.00 / $13,785.00	Facility		$12.60	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $12.60 / $16.35	Professional		$12.60	$12.60	$16.35
United Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $12.35 / $12.83	Facility		$6.30	$12.35	$12.83
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $10.80 / $20.39	Professional		$7.56	$10.80	$20.39