Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $70.79 / $218.78	Facility		$36.31	$70.79	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $70.79	Professional		$26.92	$33.11	$70.79
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $61.66 / $66.07	Professional		$27.54	$61.66	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $81.28 / $165.96	Facility		$35.48	$81.28	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $56.23	Professional		$23.99	$35.48	$56.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.20 / $41.69	Professional		$14.79	$18.20	$41.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $10,471.29 / $25,118.86	Facility		$36.31	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $40.74	Professional		$32.36	$33.11	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $36.31 / $75.86	Facility		$17.38	$36.31	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.88 / $53.70	Professional		$14.79	$21.88	$53.70