Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $67.61 / $181.97	Facility		$29.51	$67.61	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $34.67	Professional		$21.88	$26.30	$34.67
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $53.70	Professional		$22.39	$22.39	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $64.57 / $134.90	Facility		$28.84	$64.57	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.84 / $44.67	Professional		$19.50	$28.84	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $33.11	Professional		$11.75	$14.79	$33.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $10,471.29 / $25,118.86	Facility		$29.51	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $33.11	Professional		$17.78	$26.92	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $29.51 / $61.66	Facility		$13.80	$29.51	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $42.66	Professional		$11.75	$17.78	$42.66