Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $52.48 / $151.36	Facility		$20.89	$52.48	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $28.84	Professional		$10.96	$14.13	$28.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $24.55	Professional		$12.30	$12.30	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $36.31 / $74.13	Facility		$15.85	$36.31	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.85 / $23.99	Professional		$10.72	$15.85	$23.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.94 / $18.62	Professional		$6.61	$7.94	$18.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $10,471.29 / $25,118.86	Facility		$16.22	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $18.20	Professional		$14.45	$15.14	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $16.22 / $33.88	Facility		$7.76	$16.22	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.77 / $23.99	Professional		$6.61	$9.77	$23.99