Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $123.03 / $204.17	Facility		$41.69	$123.03	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $32.36 / $91.20	Professional		$20.42	$32.36	$91.20
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $63.10 / $114.82	Facility		$58.88	$63.10	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $67.61	Professional		$24.55	$38.02	$67.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $60.26	Professional		$37.15	$43.65	$60.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $239.88 / $9,772.37	Facility		$177.83	$239.88	$9,772.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $60.26	Professional		$26.30	$30.90	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $131.83 / $204.17	Facility		$117.49	$131.83	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $53.70	Professional		$21.38	$30.90	$53.70