Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $50.86 / $237.87	Facility		$10.01	$50.86	$237.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $36.49 / $50.86	Professional		$10.02	$36.49	$50.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $27.50 / $66.00	Professional		$27.50	$27.50	$66.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $111.87 / $233.06	Facility		$35.54	$111.87	$233.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $23.16 / $58.23	Professional		$13.97	$23.16	$58.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $27.97 / $38.34	Professional		$20.34	$27.97	$38.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $8,702.00 / $13,785.00	Facility		$35.60	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $35.60 / $35.60	Professional		$31.20	$35.60	$35.60
United Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $30.52 / $48.89	Professional		$17.80	$30.52	$48.89