Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $67.20 / $243.27	Facility		$15.56	$67.20	$243.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $19.17 / $23.49	Professional		$14.93	$19.17	$23.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Professional		$33.31	$33.31	$33.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $60.63 / $125.51	Facility		$19.14	$60.63	$125.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $16.54 / $39.75	Professional		$13.14	$16.54	$39.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.06 / $21.91	Professional		$10.96	$15.06	$21.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.17 / $8,702.00 / $13,785.00	Facility		$19.17	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $19.17 / $19.30	Professional		$19.17	$19.17	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $16.43 / $29.58	Professional		$10.60	$16.43	$29.58