Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $194.98 / $524.81	Facility		$40.74	$194.98	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.12 / $39.81	Professional		$16.22	$25.12	$39.81
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $218.78	Facility		$100.00	$100.00	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $72.44 / $93.33	Facility		$45.71	$72.44	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $37.15	Professional		$12.30	$14.79	$37.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $13.80	Professional		$11.22	$11.22	$13.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $9,332.54 / $25,118.86	Facility		$100.00	$9,332.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $61.66	Professional		$35.48	$47.86	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $147.91 / $309.03	Facility		$17.78	$147.91	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.05 / $31.62	Professional		$11.22	$19.05	$31.62