Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $12.59 / $54.95	Facility		$6.46	$12.59	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.75 / $10.96	Professional		$3.98	$5.75	$10.96
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $14.45 / $29.51	Facility		$6.31	$14.45	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.31 / $9.33	Professional		$4.27	$6.31	$9.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.24 / $7.24	Professional		$2.57	$3.24	$7.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10,471.29 / $25,118.86	Facility		$6.46	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.89 / $7.24	Professional		$5.75	$5.89	$7.24
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $6.46 / $13.18	Facility		$3.02	$6.46	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.89 / $9.33	Professional		$2.57	$3.89	$9.33