Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $74.65 / $175.64	Facility		$13.31	$74.65	$175.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $9.31 / $12.73	Professional		$7.52	$9.31	$12.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $137.46 / $1,758.00	Facility		$28.72	$137.46	$1,758.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $8.68 / $17.02	Professional		$5.32	$8.68	$17.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $25.26 / $53.02	Facility		$8.09	$25.26	$53.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $10.29 / $16.52	Professional		$6.97	$10.29	$16.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $6.83 / $9.39	Professional		$5.32	$6.83	$9.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $13,785.00 / $13,785.00	Facility		$8.10	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $8.10 / $9.82	Professional		$8.10	$8.10	$9.82
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $6.94 / $12.50	Professional		$4.86	$6.94	$12.50