Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $58.88 / $204.17	Facility		$18.62	$58.88	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $28.84	Professional		$10.96	$13.18	$28.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.11 / $69.18	Facility		$14.79	$33.11	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.45 / $21.88	Professional		$9.77	$14.45	$21.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $16.98	Professional		$6.03	$7.59	$16.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $10,471.29 / $25,118.86	Facility		$15.14	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.80 / $16.98	Professional		$9.12	$13.80	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $15.14 / $30.90	Facility		$7.08	$15.14	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.12 / $21.88	Professional		$5.89	$9.12	$21.88