Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $40.06 / $228.58	Facility		$19.97	$40.06	$228.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $23.04 / $23.38	Professional		$19.16	$23.04	$23.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $64.02 / $233.19 / $5,342.51	Facility		$64.02	$233.19	$5,342.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $42.84	Professional		$19.36	$19.36	$42.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $57.02 / $118.27	Facility		$18.04	$57.02	$118.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $21.20 / $37.17	Professional		$16.52	$21.20	$37.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $14.20 / $20.65	Professional		$10.32	$14.20	$20.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $13,785.00 / $13,785.00	Facility		$18.07	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $24.78	Professional		$18.07	$18.07	$24.78
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.49 / $36.06	Professional		$10.84	$15.49	$36.06