Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $37.27 / $1,922.24	Facility		$30.23	$37.27	$1,922.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.53	Professional		$30.23	$30.23	$30.53
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $75.70	Facility		$75.70	$75.70	$75.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $35.54 / $45.99	Facility		$30.23	$35.54	$45.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $34.22	Professional		$30.23	$30.23	$34.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $32.79 / $48.97	Professional		$31.37	$32.79	$48.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $8,702.00 / $13,785.00	Facility		$30.36	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $30.36 / $33.01	Professional		$30.36	$30.36	$33.01
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $37.04	Professional		$30.23	$30.23	$37.04