Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $82.15 / $294.18	Facility		$42.13	$82.15	$294.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $65.05 / $149.40	Facility		$35.32	$65.05	$149.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $42.13 / $73.88	Professional		$27.26	$42.13	$73.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $28.29 / $41.14	Professional		$20.57	$28.29	$41.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $8,702.00 / $12,381.00	Facility		$36.00	$8,702.00	$12,381.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $25.33 / $43.18	Professional		$18.00	$25.33	$43.18