Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $50.43 / $217.02	Facility		$20.17	$50.43	$217.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $22.72 / $27.51	Professional		$19.55	$22.72	$27.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $49.73 / $49.73	Professional		$49.73	$49.73	$49.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $57.74 / $119.46	Facility		$18.22	$57.74	$119.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $21.42 / $37.69	Professional		$16.68	$21.42	$37.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $15.38 / $26.07	Professional		$11.99	$15.38	$26.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $8,702.00 / $13,785.00	Facility		$18.25	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $18.25 / $18.25	Professional		$18.25	$18.25	$18.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $15.64 / $36.42	Professional		$10.09	$15.64	$36.42