Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $38.90 / $138.04	Facility		$28.84	$38.90	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $37.15	Professional		$15.14	$19.05	$37.15
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $208.93	Facility		$138.04	$138.04	$208.93
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $50.12 / $104.71	Facility		$26.30	$50.12	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $23.99 / $46.77	Professional		$13.80	$23.99	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $43.65	Professional		$15.85	$23.99	$43.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $10,471.29 / $25,118.86	Facility		$22.91	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $22.91	Professional		$18.20	$18.20	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $22.91 / $46.77	Facility		$10.72	$22.91	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.80 / $29.51	Professional		$9.33	$13.80	$29.51