Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $184.66 / $547.16	Facility		$28.84	$184.66	$547.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.02 / $33.32	Professional		$14.79	$23.02	$33.32
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $38.67 / $159.69 / $6,021.27	Facility		$38.67	$159.69	$6,021.27
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $10.60 / $10.60	Professional		$10.60	$10.60	$10.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $77.95 / $119.28	Facility		$25.46	$77.95	$119.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $13.08 / $37.38	Professional		$8.65	$13.08	$37.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $5.93 / $7.61	Professional		$5.93	$5.93	$7.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $416.61 / $13,785.00	Facility		$29.02	$416.61	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $55.71 / $55.71	Professional		$55.71	$55.71	$55.71
United Facility/Professional Facility Modifier Low / Median / High Price $73.91 / $149.16 / $306.16	Facility		$73.91	$149.16	$306.16
United Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $18.55 / $42.36	Professional		$9.99	$18.55	$42.36