Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $125.89 / $398.11	Facility		$64.57	$125.89	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $204.17	Professional		$45.71	$56.23	$204.17
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $104.71 / $117.49	Professional		$47.86	$104.71	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $141.25 / $295.12	Facility		$63.10	$141.25	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $93.33	Professional		$41.69	$50.12	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $72.44	Professional		$25.70	$32.36	$72.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $10,471.29 / $25,118.86	Facility		$64.57	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $72.44	Professional		$56.23	$58.88	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $64.57 / $131.83	Facility		$30.20	$64.57	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $93.33	Professional		$25.70	$38.90	$93.33