Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $32.64 / $499.90	Facility		$5.56	$32.64	$499.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $3.43 / $5.08	Professional		$2.84	$3.43	$5.08
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $815.91 / $40,470.04	Facility		$28.42	$815.91	$40,470.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $4.36	Professional		$4.36	$4.36	$4.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $13.71 / $29.10	Facility		$4.44	$13.71	$29.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.94 / $7.43	Professional		$2.50	$2.94	$7.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.49 / $4.32	Professional		$2.54	$3.49	$4.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $994.34 / $13,785.00	Facility		$4.45	$994.34	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $4.45 / $4.45	Professional		$3.68	$4.45	$4.45
United Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $3.49	Facility		$3.49	$3.49	$3.49
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.81 / $5.67	Professional		$2.54	$3.81	$5.67