Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $15.59 / $107.05	Facility		$7.93	$15.59	$107.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $10.35 / $26.40	Professional		$7.93	$10.35	$26.40
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Facility		$176.00	$176.00	$176.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $17.39 / $27.27	Professional		$9.94	$17.39	$27.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $27.43 / $57.74	Facility		$12.32	$27.43	$57.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $8.05 / $18.07	Professional		$6.68	$8.05	$18.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $6.30 / $7.56	Professional		$5.04	$6.30	$7.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $10.02	Professional		$10.02	$10.02	$10.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $7.56 / $14.96	Professional		$5.24	$7.56	$14.96