Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $51.96 / $4,025.00	Facility		$9.94	$51.96	$4,025.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $21.99 / $32.85	Professional		$8.94	$21.99	$32.85
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $122.98 / $122.98 / $164.51	Facility		$122.98	$122.98	$164.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $31.43 / $73.11	Professional		$9.77	$31.43	$73.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $25.73 / $51.94	Professional		$24.00	$25.73	$51.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $25.47 / $44.98	Professional		$7.33	$25.47	$44.98
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 $26.82 / $34.26 / $83.61	Professional		$26.82	$34.26	$83.61