Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $44.67 / $190.55	Facility		$30.90	$44.67	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $44.67	Professional		$16.98	$25.12	$44.67
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $67.61 / $141.25	Facility		$30.20	$67.61	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $44.67	Professional		$15.49	$19.50	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $25.70	Professional		$9.55	$14.45	$25.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $10,471.29 / $25,118.86	Facility		$30.90	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $18.62 / $26.92	Professional		$7.59	$18.62	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $30.90 / $63.10	Facility		$14.45	$30.90	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.62 / $33.88	Professional		$12.02	$18.62	$33.88