Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $48.98 / $204.17	Facility		$18.20	$48.98	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $43.65	Professional		$10.96	$13.80	$43.65
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $24.55 / $28.84	Professional		$11.48	$24.55	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $33.88 / $70.79	Facility		$15.14	$33.88	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $21.88	Professional		$10.00	$12.59	$21.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.59 / $17.38	Professional		$6.17	$7.59	$17.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $10,471.29 / $25,118.86	Facility		$15.49	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.80 / $16.98	Professional		$9.12	$13.80	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $15.49 / $31.62	Facility		$7.24	$15.49	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.12 / $22.91	Professional		$6.17	$9.12	$22.91