Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.65 / $15.58 / $64.04	Facility		$9.65	$15.58	$64.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $9.72 / $14.91	Professional		$4.76	$9.72	$14.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $20.04	Professional		$20.04	$20.04	$20.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $27.43 / $57.10	Facility		$8.71	$27.43	$57.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $12.66 / $18.07	Professional		$8.15	$12.66	$18.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $6.85 / $9.97	Professional		$4.98	$6.85	$9.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.72 / $13,785.00 / $13,785.00	Facility		$8.72	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $8.72 / $11.45	Professional		$8.72	$8.72	$11.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $7.48 / $18.46	Professional		$5.23	$7.48	$18.46