Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.39 / $181.97	Facility		$15.14	$22.39	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $64.57	Professional		$12.02	$15.85	$64.57
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $173.78 / $199.53	Facility		$39.81	$173.78	$199.53
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $38.02 / $79.43	Facility		$16.98	$38.02	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $24.55	Professional		$9.12	$12.88	$24.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.13 / $10.23	Professional		$6.92	$8.13	$10.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $10,471.29 / $25,703.96	Facility		$17.38	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.30 / $15.14	Professional		$11.22	$12.30	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $17.38 / $35.48	Facility		$8.13	$17.38	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.47 / $17.78	Professional		$6.92	$10.47	$17.78