Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $30.20 / $97.72	Facility		$16.22	$30.20	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.80 / $28.18	Professional		$12.02	$13.80	$28.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $37.15	Professional		$11.75	$11.75	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $34.67 / $70.79	Facility		$15.14	$34.67	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.59 / $18.20	Professional		$8.32	$12.59	$18.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.41 / $17.78	Professional		$6.31	$7.41	$17.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $10,471.29 / $25,118.86	Facility		$15.49	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.45 / $17.38	Professional		$13.80	$14.45	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $15.49 / $32.36	Facility		$7.41	$15.49	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.33 / $22.91	Professional		$6.31	$9.33	$22.91