Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $52.98 / $130.49	Facility		$16.10	$52.98	$130.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $18.55 / $21.97	Professional		$15.45	$18.55	$21.97
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $53.79 / $210.25 / $720.01	Facility		$53.79	$210.25	$720.01
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $33.75 / $49.61	Professional		$15.61	$33.75	$49.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $46.19 / $95.36	Facility		$14.54	$46.19	$95.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $16.96 / $29.94	Professional		$13.35	$16.96	$29.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.45 / $16.64	Professional		$8.32	$11.45	$16.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $8,702.00 / $13,785.00	Facility		$14.57	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $19.13	Professional		$14.57	$14.57	$19.13
United Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $11.45 / $11.45	Facility		$11.45	$11.45	$11.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.49 / $29.07	Professional		$8.74	$12.49	$29.07