Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $32.36 / $114.82	Facility		$16.98	$32.36	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $32.36	Professional		$10.96	$14.79	$32.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $37.15 / $77.62	Facility		$16.60	$37.15	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.22 / $23.99	Professional		$10.96	$16.22	$23.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $19.05	Professional		$6.76	$8.51	$19.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $10,471.29 / $25,118.86	Facility		$16.98	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.49 / $19.05	Professional		$14.79	$15.49	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $16.98 / $34.67	Facility		$7.94	$16.98	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.00 / $24.55	Professional		$6.46	$10.00	$24.55