Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $59.28 / $3,204.80	Facility		$36.74	$59.28	$3,204.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $35.58 / $59.28	Professional		$17.95	$35.58	$59.28
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.00 / $157.04	Professional		$28.00	$28.00	$157.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $42.46 / $95.06	Professional		$19.80	$42.46	$95.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $44.25 / $95.84	Professional		$33.86	$44.25	$95.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.39 / $356.30 / $679.56	Facility		$313.39	$356.30	$679.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $32.65 / $110.47	Professional		$17.75	$32.65	$110.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $47.89 / $94.26	Professional		$25.38	$47.89	$94.26