Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $42.52 / $62.87	Facility		$9.72	$42.52	$62.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.66 / $8.52	Professional		$4.90	$5.66	$8.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $74.20 / $220.00	Facility		$22.00	$74.20	$220.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Professional		$12.48	$12.48	$12.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.79 / $21.65 / $44.54	Facility		$6.79	$21.65	$44.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $5.94 / $13.94	Professional		$4.66	$5.94	$13.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.73 / $8.06	Professional		$4.47	$5.73	$8.06
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $8,702.00 / $13,785.00	Facility		$6.80	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.80 / $6.80	Professional		$6.08	$6.80	$6.80
United Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $5.83 / $9.47	Professional		$3.76	$5.83	$9.47