Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $15.98 / $235.81	Facility		$6.39	$15.98	$235.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $10.00 / $10.74	Professional		$6.39	$10.00	$10.74
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $337.48 / $337.48 / $337.48	Professional		$337.48	$337.48	$337.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $15.25 / $36.09	Facility		$8.42	$15.25	$36.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $13.22 / $17.04	Professional		$6.39	$13.22	$17.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $6.63 / $7.30	Professional		$4.82	$6.63	$7.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $9.64	Professional		$8.44	$8.44	$9.64
United Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $7.23 / $12.35	Professional		$4.67	$7.23	$12.35