Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $63.10 / $263.03	Facility		$17.78	$63.10	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $34.67	Professional		$12.88	$15.85	$34.67
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $199.53 / $199.53	Facility		$123.03	$199.53	$199.53
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.30 / $33.88	Professional		$13.49	$26.30	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $39.81 / $81.28	Facility		$17.38	$39.81	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.38 / $27.54	Professional		$11.75	$17.38	$27.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $20.42	Professional		$7.08	$8.91	$20.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $10,471.29 / $25,118.86	Facility		$17.78	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.60 / $19.95	Professional		$15.85	$16.60	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $17.78 / $37.15	Facility		$8.32	$17.78	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.72 / $26.30	Professional		$7.08	$10.72	$26.30