Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $69.43 / $184.68	Facility		$23.33	$69.43	$184.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $29.64 / $50.30	Professional		$21.60	$29.64	$50.30
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $360.90 / $360.90	Facility		$360.90	$360.90	$360.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.17 / $72.55 / $111.14	Facility		$59.17	$72.55	$111.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $37.99 / $65.51	Professional		$24.36	$37.99	$65.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $43.74 / $59.81	Professional		$35.51	$43.74	$59.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $214.08 / $464.19	Facility		$35.74	$214.08	$464.19
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $29.58 / $43.82	Professional		$25.14	$29.58	$43.82
United Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $33.20 / $54.32	Professional		$22.09	$33.20	$54.32