Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $25.12 / $66.07	Facility		$9.77	$25.12	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $12.59	Professional		$5.01	$7.08	$12.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $74.13 / $218.78	Facility		$21.88	$74.13	$218.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $21.88 / $44.67	Facility		$9.55	$21.88	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.92 / $13.80	Professional		$4.79	$6.92	$13.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.90 / $9.77	Professional		$3.89	$4.90	$9.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $10,471.29 / $25,118.86	Facility		$9.77	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.89 / $8.51	Professional		$5.75	$5.89	$8.51
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $9.77 / $19.95	Facility		$4.57	$9.77	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.89 / $9.55	Professional		$3.89	$5.89	$9.55