Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $9.77 / $26.92	Facility		$5.50	$9.77	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $7.08	Professional		$3.02	$3.02	$7.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $9.33 / $19.95	Facility		$4.27	$9.33	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.27 / $6.76	Professional		$2.82	$4.27	$6.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.04 / $4.79	Professional		$1.74	$2.04	$4.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $10,232.93 / $25,118.86	Facility		$4.27	$10,232.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.47 / $4.79	Professional		$3.80	$4.47	$4.79
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $4.27 / $8.91	Facility		$2.04	$4.27	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.57 / $6.31	Professional		$1.74	$2.57	$6.31