Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.16 / $125.00 / $388.57	Facility		$65.16	$125.00	$388.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $99.37 / $500.00	Professional		$40.72	$99.37	$500.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $40.72 / $138.93	Professional		$40.72	$40.72	$138.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $119.81 / $248.82	Facility		$37.95	$119.81	$248.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $28.78 / $77.95	Professional		$19.76	$28.78	$77.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $27.15 / $32.58	Professional		$21.72	$27.15	$32.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $13,785.00 / $13,785.00	Facility		$54.30	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $36.38 / $43.44	Professional		$28.71	$36.38	$43.44
United Facility/Professional Facility Modifier Low / Median / High Price $48.87 / $48.87 / $65.16	Facility		$48.87	$48.87	$65.16
United Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $32.58 / $55.66	Professional		$19.01	$32.58	$55.66