Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $106.51 / $334.50	Facility		$26.07	$106.51	$334.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $17.32 / $23.14	Professional		$14.37	$17.32	$23.14
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $58.30 / $241.13 / $4,919.78	Facility		$58.30	$241.13	$4,919.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $8.44	Professional		$8.44	$8.44	$8.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $57.74 / $119.46	Facility		$18.22	$57.74	$119.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $18.73 / $37.69	Professional		$12.65	$18.73	$37.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $15.38 / $21.85	Professional		$11.99	$15.38	$21.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $13,785.00 / $13,785.00	Facility		$18.25	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $18.25 / $18.57	Professional		$18.25	$18.25	$18.57
United Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $15.23 / $28.16	Professional		$10.43	$15.23	$28.16