Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $32.14 / $157.72	Facility		$12.43	$32.14	$157.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $41.01 / $42.99	Professional		$12.43	$41.01	$42.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $75.65 / $75.65 / $103.14	Facility		$75.65	$75.65	$103.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $24.77 / $38.29	Professional		$12.05	$24.77	$38.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $35.36 / $73.64	Facility		$11.23	$35.36	$73.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $13.15 / $23.23	Professional		$10.33	$13.15	$23.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $8.84 / $12.86	Professional		$7.39	$8.84	$12.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $8,702.00 / $13,785.00	Facility		$11.25	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $14.77	Professional		$11.25	$11.25	$14.77
United Facility/Professional Facility Modifier Low / Median / High Price $8.84 / $8.84 / $18.00	Facility		$8.84	$8.84	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.64 / $18.21	Professional		$6.75	$9.64	$18.21