Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $26.43 / $142.76	Facility		$10.57	$26.43	$142.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $13.88 / $16.96	Professional		$10.57	$13.88	$16.96
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $134.85 / $150.50 / $187.05	Facility		$134.85	$150.50	$187.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $37.53 / $78.54	Facility		$16.75	$37.53	$78.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $10.73 / $24.78	Professional		$9.08	$10.73	$24.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $8.57 / $10.28	Professional		$5.05	$8.57	$10.28
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 $12.97 / $12.97 / $15.96	Professional		$12.97	$12.97	$15.96
United Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $10.28 / $18.51	Professional		$6.98	$10.28	$18.51