Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $74.54 / $235.59	Facility		$30.25	$74.54	$235.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $31.59 / $41.98	Professional		$26.64	$31.59	$41.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $13.50	Professional		$10.40	$10.40	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.43 / $82.28 / $170.78	Facility		$36.43	$82.28	$170.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $43.33 / $98.17	Professional		$25.49	$43.33	$98.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $39.13 / $54.04	Professional		$26.09	$39.13	$54.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $4,207.00 / $13,785.00	Facility		$26.09	$4,207.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $26.09 / $26.09	Professional		$26.09	$26.09	$26.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $22.36 / $50.27	Professional		$14.43	$22.36	$50.27