Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $39.81 / $125.89	Facility		$26.30	$39.81	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $37.15	Professional		$14.13	$18.20	$37.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $44.67 / $93.33	Facility		$19.95	$44.67	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.95 / $29.51	Professional		$13.49	$19.95	$29.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.55 / $22.91	Professional		$8.13	$9.55	$22.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $10,471.29 / $25,118.86	Facility		$20.42	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $18.62 / $22.91	Professional		$17.78	$18.62	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $20.42 / $41.69	Facility		$9.55	$20.42	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.30 / $29.51	Professional		$8.13	$12.30	$29.51