Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $19.86 / $199.68	Facility		$0.03	$19.86	$199.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $13.47 / $19.86	Professional		$10.36	$13.47	$19.86
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $53.26 / $962.93	Facility		$12.90	$53.26	$962.93
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $12.95 / $12.95	Professional		$12.95	$12.95	$12.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $34.54 / $79.14	Facility		$12.07	$34.54	$79.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $10.39 / $19.82	Professional		$8.28	$10.39	$19.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.50 / $13.82	Professional		$6.91	$9.50	$13.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $8,702.00	Facility		$17.27	$17.27	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $12.43 / $13.82	Professional		$11.90	$12.43	$13.82
United Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $10.36 / $17.70	Professional		$6.69	$10.36	$17.70