Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $27.54 / $77.62	Facility		$15.49	$27.54	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $23.44	Professional		$7.94	$10.96	$23.44
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $26.92 / $54.95	Facility		$11.75	$26.92	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.75 / $16.98	Professional		$7.94	$11.75	$16.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.03 / $13.80	Professional		$4.79	$6.03	$13.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $10,471.29 / $25,118.86	Facility		$12.02	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.96 / $13.49	Professional		$10.72	$10.96	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $12.02 / $25.12	Facility		$5.75	$12.02	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.24 / $17.78	Professional		$4.79	$7.24	$17.78