Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.13 / $52.23 / $136.91	Facility		$15.13	$52.23	$136.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $16.63 / $34.08	Professional		$14.52	$16.63	$34.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $31.73 / $31.73	Professional		$31.73	$31.73	$31.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $43.30 / $89.63	Facility		$13.67	$43.30	$89.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $16.11 / $27.88	Professional		$12.55	$16.11	$27.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $10.76 / $15.65	Professional		$7.82	$10.76	$15.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $13,785.00 / $13,785.00	Facility		$13.69	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $13.69 / $17.98	Professional		$13.69	$13.69	$17.98
United Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $17.60 / $23.47	Facility		$17.60	$17.60	$23.47
United Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $11.74 / $28.98	Professional		$7.57	$11.74	$28.98