Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $9.25 / $44.84	Facility		$2.52	$9.25	$44.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.38 / $4.65	Professional		$2.41	$3.38	$4.65
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $19.96 / $434.62	Facility		$4.76	$19.96	$434.62
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $3.17 / $3.17	Professional		$2.33	$3.17	$3.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $9.38 / $19.38	Facility		$2.96	$9.38	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $3.50 / $6.20	Professional		$2.13	$3.50	$6.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.50 / $3.68	Professional		$1.95	$2.50	$3.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $8,702.00 / $13,785.00	Facility		$2.96	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $2.96 / $2.99	Professional		$2.96	$2.96	$2.99
United Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $2.75 / $4.54	Professional		$1.80	$2.75	$4.54