Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.85 / $479.30 / $2,261.73	Facility		$189.85	$479.30	$2,261.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $354.26 / $482.10	Professional		$220.89	$354.26	$482.10
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $311.30 / $1,132.84 / $7,201.00	Facility		$311.30	$1,132.84	$7,201.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $364.68	Professional		$25.37	$25.37	$364.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.61 / $918.77 / $1,909.83	Facility		$408.61	$918.77	$1,909.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $517.05 / $1,164.63	Professional		$303.52	$517.05	$1,164.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $291.75 / $437.62 / $604.33	Professional		$291.75	$437.62	$604.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.75 / $8,702.00 / $13,785.00	Facility		$291.75	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.75 / $291.75 / $291.75	Professional		$291.75	$291.75	$291.75
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $581.36	Professional		$175.05	$250.07	$581.36