Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $37.45 / $116.11	Facility		$14.98	$37.45	$116.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $15.48 / $23.15	Professional		$14.37	$15.48	$23.15
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $120.60 / $120.60 / $120.60	Facility		$120.60	$120.60	$120.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $42.58 / $88.67	Facility		$13.52	$42.58	$88.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $15.90 / $27.88	Professional		$12.39	$15.90	$27.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $11.42 / $19.35	Professional		$8.90	$11.42	$19.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $8,702.00 / $13,785.00	Facility		$13.55	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $13.55 / $17.79	Professional		$13.55	$13.55	$17.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $11.61 / $26.25	Professional		$7.74	$11.61	$26.25