Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $38.06 / $192.35	Facility		$15.16	$38.06	$192.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $15.68 / $23.42	Professional		$6.49	$15.68	$23.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Professional		$37.36	$37.36	$37.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $43.30 / $89.81	Facility		$13.70	$43.30	$89.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $16.11 / $26.58	Professional		$12.55	$16.11	$26.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $10.78 / $15.68	Professional		$8.23	$10.78	$15.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $8,702.00 / $13,785.00	Facility		$13.72	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $13.72 / $18.82	Professional		$13.72	$13.72	$18.82
United Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $10.78	Facility		$10.78	$10.78	$10.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.76 / $27.37	Professional		$8.23	$11.76	$27.37