Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.45 / $250.98 / $778.77	Facility		$96.45	$250.98	$778.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $128.08 / $149.09	Professional		$96.45	$128.08	$149.09
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $593.54 / $1,265.42 / $1,684.87	Facility		$593.54	$1,265.42	$1,684.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.66 / $276.43 / $575.04	Facility		$122.66	$276.43	$575.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $157.44 / $360.61	Professional		$90.69	$157.44	$360.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $131.76 / $228.64	Professional		$87.84	$131.76	$228.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.84 / $8,702.00 / $13,785.00	Facility		$87.84	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $87.84 / $87.84	Professional		$87.84	$87.84	$87.84
United Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $112.94 / $181.98	Professional		$55.74	$112.94	$181.98