Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $16.38 / $70.56	Facility		$6.55	$16.38	$70.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $10.11 / $13.73	Professional		$4.74	$10.11	$13.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $43.50 / $160.00	Facility		$42.50	$43.50	$160.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $15.75 / $15.75	Professional		$15.75	$15.75	$15.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $30.31 / $62.92	Facility		$9.60	$30.31	$62.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $7.42 / $15.69	Professional		$5.52	$7.42	$15.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $7.55 / $9.55	Professional		$6.32	$7.55	$9.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $13,785.00 / $13,785.00	Facility		$9.61	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $19.82	Professional		$9.61	$9.61	$19.82
United Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $8.02 / $12.67	Professional		$4.24	$8.02	$12.67