Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $108.13 / $319.69	Facility		$43.25	$108.13	$319.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $43.59 / $66.84	Professional		$41.49	$43.59	$66.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $41.92 / $41.92	Professional		$41.92	$41.92	$41.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.63 / $123.42 / $256.11	Facility		$54.63	$123.42	$256.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $41.22 / $87.24	Professional		$29.62	$41.22	$87.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $32.97 / $55.89	Professional		$25.71	$32.97	$55.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $8,702.00 / $13,785.00	Facility		$39.11	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $39.11 / $53.66	Professional		$39.11	$39.11	$53.66
United Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $33.53 / $60.36	Professional		$23.47	$33.53	$60.36