Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $49.05 / $99.17	Facility		$14.12	$49.05	$99.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.65 / $25.44	Professional		$10.93	$12.65	$25.44
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,038.42 / $1,038.42 / $1,038.42	Facility		$1,038.42	$1,038.42	$1,038.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $21.36 / $25.62	Professional		$10.59	$21.36	$25.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $31.03 / $64.70	Facility		$9.86	$31.03	$64.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $11.66 / $19.97	Professional		$9.06	$11.66	$19.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $7.77 / $11.30	Professional		$5.65	$7.77	$11.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.88 / $8,702.00 / $13,785.00	Facility		$9.88	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $9.88 / $13.56	Professional		$9.88	$9.88	$13.56
United Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $8.47 / $16.00	Professional		$4.94	$8.47	$16.00