Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $52.43 / $149.44	Facility		$35.74	$52.43	$149.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $23.97 / $32.02	Professional		$19.88	$23.97	$32.02
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $68.84 / $421.87	Facility		$13.53	$68.84	$421.87
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $6.40 / $6.40	Professional		$6.40	$6.40	$6.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $78.67 / $163.77	Facility		$24.97	$78.67	$163.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $20.69 / $40.89	Professional		$17.48	$20.69	$40.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $21.09 / $28.59	Professional		$16.44	$21.09	$28.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $13,785.00 / $13,785.00	Facility		$25.02	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $25.02 / $25.71	Professional		$25.02	$25.02	$25.71
United Facility/Professional Facility Modifier Low / Median / High Price $32.17 / $32.17 / $42.89	Facility		$32.17	$32.17	$42.89
United Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $21.44 / $38.60	Professional		$13.84	$21.44	$38.60