Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $263.03	Facility		$53.70	$100.00	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $75.86	Professional		$26.92	$33.88	$75.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $91.20 / $190.55	Facility		$47.86	$91.20	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $81.28	Professional		$25.12	$44.67	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $79.43	Professional		$29.51	$43.65	$79.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $9,549.93 / $25,118.86	Facility		$41.69	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $41.69	Professional		$33.11	$33.11	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $41.69 / $85.11	Facility		$19.50	$41.69	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $51.29	Professional		$17.38	$25.12	$51.29