Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.84 / $124.60 / $446.47	Facility		$49.84	$124.60	$446.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $50.24 / $77.04	Professional		$46.71	$50.24	$77.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $48.31 / $116.81	Professional		$24.00	$48.31	$116.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $142.18 / $295.14	Facility		$45.01	$142.18	$295.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $49.80 / $92.41	Professional		$34.14	$49.80	$92.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $38.00 / $64.41	Professional		$29.63	$38.00	$64.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $13,785.00 / $13,785.00	Facility		$45.09	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $45.09 / $59.20	Professional		$45.09	$45.09	$59.20
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $95.68	Professional		$27.05	$38.65	$95.68