Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $30.90 / $125.89	Facility		$17.38	$30.90	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $15.85 / $91.20	Professional		$7.08	$15.85	$91.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $44.67 / $93.33	Facility		$19.95	$44.67	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.71 / $29.51	Professional		$6.03	$8.71	$29.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.23 / $12.02	Professional		$8.13	$10.23	$12.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $10,471.29 / $25,118.86	Facility		$20.42	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.33 / $18.20	Professional		$8.32	$9.33	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $20.42 / $41.69	Facility		$9.55	$20.42	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.02 / $14.45	Professional		$7.59	$12.02	$14.45