Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $47.44 / $205.07	Facility		$20.44	$47.44	$205.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $25.31 / $32.78	Professional		$20.44	$25.31	$32.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $26.12 / $26.12	Professional		$26.12	$26.12	$26.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $85.17 / $176.74	Facility		$37.71	$85.17	$176.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $21.60 / $55.24	Professional		$18.51	$21.60	$55.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $19.29 / $23.14	Professional		$10.61	$19.29	$23.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $8,702.00	Facility		$38.57	$38.57	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $25.84 / $25.84	Professional		$25.84	$25.84	$25.84
United Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $22.53 / $39.53	Professional		$13.50	$22.53	$39.53