Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $38.90 / $134.90	Facility		$14.45	$38.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $83.18	Professional		$8.91	$12.02	$83.18
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $29.51 / $61.66	Facility		$13.49	$29.51	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.18 / $19.50	Professional		$8.91	$13.18	$19.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.76 / $15.14	Professional		$5.37	$6.76	$15.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $10,471.29 / $25,118.86	Facility		$13.49	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.91 / $12.02	Professional		$8.13	$8.91	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $13.49 / $27.54	Facility		$6.31	$13.49	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.13 / $14.45	Professional		$5.37	$8.13	$14.45