Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.57 / $74.48 / $334.36	Facility		$50.57	$74.48	$334.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $51.24 / $60.09	Professional		$42.70	$51.24	$60.09
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $70.61 / $219.49 / $4,566.64	Facility		$70.61	$219.49	$4,566.64
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $7.80 / $9.49	Professional		$7.80	$7.80	$9.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $145.07 / $301.01	Facility		$64.20	$145.07	$301.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $68.18 / $137.44	Professional		$37.92	$68.18	$137.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $68.97 / $95.25	Professional		$45.98	$68.97	$95.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.98 / $8,702.00 / $13,785.00	Facility		$45.98	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $45.98 / $45.98	Professional		$45.98	$45.98	$45.98
United Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $39.40 / $67.13	Professional		$26.28	$39.40	$67.13