Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $37.15 / $120.23	Facility		$24.55	$37.15	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $27.54	Professional		$14.13	$18.20	$27.54
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $42.66 / $89.13	Facility		$19.05	$42.66	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.62 / $29.51	Professional		$12.59	$18.62	$29.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $21.88	Professional		$7.76	$9.77	$21.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $10,471.29 / $25,118.86	Facility		$19.50	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.78 / $21.88	Professional		$16.98	$17.78	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $19.50 / $39.81	Facility		$9.12	$19.50	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.48 / $28.18	Professional		$7.76	$11.48	$28.18