Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $28.15 / $68.04	Facility		$6.68	$28.15	$68.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.98 / $8.02	Professional		$5.01	$5.98	$8.02
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $63.90 / $1,089.58	Facility		$17.16	$63.90	$1,089.58
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $12.00 / $12.74	Professional		$10.49	$12.00	$12.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $14.43 / $30.61	Facility		$4.67	$14.43	$30.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.51 / $9.81	Professional		$4.29	$5.51	$9.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.67 / $5.34	Professional		$3.07	$3.67	$5.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $8,702.00 / $13,785.00	Facility		$4.68	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $6.14	Professional		$4.68	$4.68	$6.14
United Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $4.01 / $9.33	Professional		$2.59	$4.01	$9.33