Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $141.25 / $457.09	Facility		$58.88	$141.25	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $234.42	Professional		$44.67	$60.26	$234.42
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $190.55	Facility		$66.07	$66.07	$190.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $54.95	Professional		$8.71	$8.71	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $162.18 / $338.84	Facility		$85.11	$162.18	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $125.89	Professional		$43.65	$77.62	$125.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $138.04	Professional		$51.29	$77.62	$138.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $10,471.29 / $25,118.86	Facility		$74.13	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $74.13	Professional		$57.54	$57.54	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $74.13 / $151.36	Facility		$34.67	$74.13	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $85.11	Professional		$29.51	$43.65	$85.11