Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $112.74 / $471.13	Facility		$57.54	$112.74	$471.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $68.05 / $96.36	Professional		$57.55	$68.05	$96.36
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $250.30 / $352.80 / $1,764.18	Facility		$250.30	$352.80	$1,764.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.60 / $202.09 / $420.02	Facility		$89.60	$202.09	$420.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $106.71 / $227.62	Professional		$60.55	$106.71	$227.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $96.24 / $132.91	Professional		$64.16	$96.24	$132.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.16 / $13,785.00 / $13,785.00	Facility		$64.16	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $64.16 / $64.16	Professional		$64.16	$64.16	$64.16
United Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $50.41 / $102.00	Facility		$50.41	$50.41	$102.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $55.00 / $125.06	Professional		$38.50	$55.00	$125.06