Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $38.78 / $123.77	Facility		$15.50	$38.78	$123.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $19.34 / $26.16	Professional		$14.89	$19.34	$26.16
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $139.50 / $139.50 / $209.00	Facility		$139.50	$139.50	$209.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $49.80 / $104.25	Facility		$22.24	$49.80	$104.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $25.35 / $56.29	Professional		$14.66	$25.35	$56.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $23.89 / $32.99	Professional		$15.93	$23.89	$32.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $8,702.00 / $13,785.00	Facility		$15.93	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $15.93 / $15.93	Professional		$15.93	$15.93	$15.93
United Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $20.48 / $27.30	Facility		$20.48	$20.48	$27.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $13.65 / $30.00	Professional		$9.56	$13.65	$30.00