Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $270.60 / $428.50	Facility		$30.60	$270.60	$428.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $29.88 / $30.60	Professional		$28.80	$29.88	$30.60
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $151.44 / $151.44 / $151.44	Facility		$151.44	$151.44	$151.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $30.60 / $39.60	Facility		$30.60	$30.60	$39.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.90 / $13,785.00 / $13,785.00	Facility		$24.90	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $25.50 / $25.50	Professional		$21.53	$25.50	$25.50
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $34.27	Professional		$30.00	$30.00	$34.27