Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.45 / $241.13 / $827.17	Facility		$96.45	$241.13	$827.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $120.03 / $149.09	Professional		$96.45	$120.03	$149.09
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $952.20 / $952.20 / $952.20	Facility		$952.20	$952.20	$952.20
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 $141.36 / $319.01 / $662.65	Facility		$141.36	$319.01	$662.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $168.18 / $360.61	Professional		$90.69	$168.18	$360.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $151.84 / $263.48	Professional		$101.23	$151.84	$263.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.23 / $8,702.00 / $13,785.00	Facility		$101.23	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $101.23 / $101.23	Professional		$101.23	$101.23	$101.23
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $127.26 / $200.00	Professional		$64.23	$127.26	$200.00