Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $87.10 / $416.87	Facility		$43.65	$87.10	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $95.50	Professional		$12.88	$19.05	$95.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $52.48 / $151.36	Professional		$15.14	$52.48	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.70 / $26.92	Professional		$22.39	$25.70	$26.92
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.95 / $177.83	Professional		$13.49	$19.95	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $23.99 / $95.50	Professional		$13.49	$23.99	$95.50