Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.32 / $73.37 / $373.45	Facility		$45.32	$73.37	$373.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $54.72 / $69.70	Professional		$45.32	$54.72	$69.70
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $82.51 / $272.55 / $3,401.57	Facility		$82.51	$272.55	$3,401.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $8.80 / $54.60	Professional		$8.80	$8.80	$54.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.72 / $161.66 / $336.21	Facility		$71.72	$161.66	$336.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.69 / $77.39 / $157.30	Professional		$43.69	$77.39	$157.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $77.04 / $106.39	Professional		$51.36	$77.04	$106.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $13,785.00 / $13,785.00	Facility		$51.36	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $51.36 / $51.36	Professional		$51.36	$51.36	$51.36
United Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $44.02 / $83.37	Professional		$30.45	$44.02	$83.37