Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $41.13 / $119.88	Facility		$10.61	$41.13	$119.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $11.24 / $16.41	Professional		$10.18	$11.24	$16.41
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $162.69 / $389.30	Facility		$112.32	$162.69	$389.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $21.26 / $21.26	Professional		$21.26	$21.26	$21.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $30.31 / $62.82	Facility		$9.58	$30.31	$62.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $13.74 / $24.99	Professional		$8.96	$13.74	$24.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.09 / $15.49	Professional		$6.31	$8.09	$15.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $13,785.00 / $13,785.00	Facility		$9.60	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $12.60	Professional		$9.60	$9.60	$12.60
United Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $7.54 / $7.54	Facility		$7.54	$7.54	$7.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $8.23 / $19.17	Professional		$5.31	$8.23	$19.17