Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $38.78 / $138.16	Facility		$15.50	$38.78	$138.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $21.50 / $26.38	Professional		$14.89	$21.50	$26.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $209.00 / $209.00 / $209.00	Facility		$209.00	$209.00	$209.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $59.18 / $123.17	Facility		$26.27	$59.18	$123.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $27.20 / $56.29	Professional		$15.89	$27.20	$56.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $28.22 / $38.97	Professional		$18.82	$28.22	$38.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $13,785.00 / $13,785.00	Facility		$18.82	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $18.82 / $18.82	Professional		$18.82	$18.82	$18.82
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $16.13 / $30.00	Professional		$11.29	$16.13	$30.00