Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $125.63 / $320.04	Facility		$50.25	$125.63	$320.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $49.66 / $50.33	Professional		$42.13	$49.66	$50.33
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $215.10 / $215.10 / $215.10	Facility		$215.10	$215.10	$215.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $29.29 / $175.77	Facility		$20.27	$29.29	$175.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $42.13 / $73.88	Professional		$27.26	$42.13	$73.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $24.86 / $41.14	Professional		$19.38	$24.86	$41.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $34.89 / $8,702.00	Facility		$34.89	$34.89	$8,702.00
United Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Facility		$23.17	$23.17	$23.17
United Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $25.28 / $44.56	Professional		$19.91	$25.28	$44.56