Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $52.17 / $501.30	Facility		$13.15	$52.17	$501.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $19.37 / $28.08	Professional		$13.15	$19.37	$28.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $65.68 / $98.76	Facility		$21.56	$65.68	$98.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $12.73 / $31.60	Professional		$10.81	$12.73	$31.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $9.88 / $12.67	Professional		$9.88	$9.88	$12.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $401.24 / $13,785.00	Facility		$24.44	$401.24	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $47.33 / $50.92	Professional		$46.78	$47.33	$50.92
United Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Facility		$78.93	$78.93	$78.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $14.30 / $35.69	Professional		$7.70	$14.30	$35.69