Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $46.77 / $141.25	Facility		$18.62	$46.77	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $17.78	Professional		$10.00	$12.59	$17.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $48.98	Professional		$30.90	$30.90	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $31.62 / $66.07	Facility		$14.13	$31.62	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $20.42	Professional		$9.33	$11.22	$20.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $16.22	Professional		$5.75	$7.24	$16.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $10,471.29 / $25,118.86	Facility		$14.45	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $13.18 / $16.22	Professional		$12.59	$13.18	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $14.45 / $29.51	Facility		$6.76	$14.45	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.71 / $20.89	Professional		$5.62	$8.71	$20.89