Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $22.02 / $152.60	Facility		$13.85	$22.02	$152.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $15.95 / $18.89	Professional		$13.29	$15.95	$18.89
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $13.43 / $13.43	Professional		$13.43	$13.43	$13.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $39.70 / $82.02	Facility		$12.51	$39.70	$82.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $14.63 / $25.81	Professional		$11.44	$14.63	$25.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $10.56 / $17.89	Professional		$8.23	$10.56	$17.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $13,785.00 / $13,785.00	Facility		$12.53	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.53 / $17.19	Professional		$12.53	$12.53	$17.19
United Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $12.28 / $12.77	Facility		$6.27	$12.28	$12.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $10.74 / $25.02	Professional		$7.52	$10.74	$25.02