Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $41.81 / $41.81	Facility		$41.81	$41.81	$41.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $41.81 / $41.81	Professional		$23.09	$41.81	$41.81
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $86.45 / $86.45	Professional		$86.45	$86.45	$86.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $39.17 / $83.79	Professional		$23.84	$39.17	$83.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.88 / $59.55 / $129.11	Facility		$53.88	$59.55	$129.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $36.20 / $58.40	Professional		$24.42	$36.20	$58.40
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $31.24 / $57.41	Professional		$19.32	$31.24	$57.41