Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.70 / $41.08 / $63.76	Facility		$36.70	$41.08	$63.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $42.56 / $68.20	Professional		$30.54	$42.56	$68.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $81.84 / $166.48	Professional		$60.82	$81.84	$166.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $49.99 / $49.99	Professional		$49.99	$49.99	$49.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $79.67 / $92.50	Professional		$71.48	$79.67	$92.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.48 / $216.59 / $224.89	Facility		$181.48	$216.59	$224.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $70.54 / $72.95	Professional		$59.96	$70.54	$72.95
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $78.38 / $131.82	Professional		$37.90	$78.38	$131.82