Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $40.34 / $141.76	Facility		$17.37	$40.34	$141.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $21.51 / $27.85	Professional		$17.37	$21.51	$27.85
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $62.90 / $75.59	Facility		$59.50	$62.90	$75.59
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Professional		$11.25	$11.25	$11.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $65.54 / $150.16	Facility		$22.90	$65.54	$150.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $19.51 / $37.58	Professional		$15.23	$19.51	$37.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $18.67 / $26.22	Professional		$15.07	$18.67	$26.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $22.94 / $13,785.00	Facility		$22.94	$22.94	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $22.94 / $22.94	Professional		$22.94	$22.94	$22.94
United Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $19.14 / $33.59	Professional		$12.69	$19.14	$33.59