Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.28 / $4.26	Facility		$0.17	$0.28	$4.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.17	Professional		$0.17	$0.17	$0.17
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $270.41 / $464.78	Facility		$0.21	$270.41	$464.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.21 / $0.28	Facility		$0.16	$0.21	$0.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.36	Professional		$0.17	$0.17	$0.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.65 / $0.73	Professional		$0.18	$0.65	$0.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $13,785.00 / $13,785.00	Facility		$0.18	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.17 / $0.43	Professional		$0.16	$0.17	$0.43
United Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.17 / $0.62	Professional		$0.07	$0.17	$0.62