Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $45.71 / $177.83	Facility		$22.91	$45.71	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $44.67	Professional		$15.85	$19.95	$44.67
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $35.48	Professional		$17.38	$17.38	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $50.12 / $104.71	Facility		$22.39	$50.12	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.39 / $33.11	Professional		$15.14	$22.39	$33.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $25.70	Professional		$9.12	$11.48	$25.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $9,549.93 / $25,118.86	Facility		$22.91	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.89 / $25.70	Professional		$20.42	$20.89	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $22.91 / $46.77	Facility		$10.72	$22.91	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.80 / $33.88	Professional		$9.12	$13.80	$33.88