Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $134.83 / $567.62	Facility		$33.15	$134.83	$567.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $38.54 / $51.24	Professional		$33.15	$38.54	$51.24
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $327.17 / $1,120.40	Facility		$95.90	$327.17	$1,120.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.99 / $94.55 / $196.31	Facility		$41.99	$94.55	$196.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $53.25 / $119.90	Professional		$31.22	$53.25	$119.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $44.98 / $62.12	Professional		$29.99	$44.98	$62.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $8,702.00 / $13,785.00	Facility		$29.99	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $29.99 / $29.99	Professional		$29.99	$29.99	$29.99
United Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $23.56 / $23.56	Facility		$23.56	$23.56	$23.56
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.70 / $61.25	Professional		$17.98	$25.70	$61.25