Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $31.62 / $72.44	Facility		$15.49	$31.62	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $20.89	Professional		$7.94	$10.00	$20.89
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 $11.75 / $26.92 / $54.95	Facility		$11.75	$26.92	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $16.98	Professional		$7.76	$9.77	$16.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.03 / $13.49	Professional		$4.79	$6.03	$13.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $10,471.29 / $25,118.86	Facility		$12.02	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.47 / $12.30	Professional		$10.00	$10.47	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.02 / $24.55	Facility		$5.62	$12.02	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.24 / $16.22	Professional		$4.79	$7.24	$16.22