Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $18.62 / $40.74	Facility		$6.03	$18.62	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $12.88	Professional		$3.02	$3.98	$12.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $37.15 / $77.62	Facility		$34.67	$37.15	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $10.72 / $21.88	Facility		$4.68	$10.72	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.80 / $7.24	Professional		$3.09	$3.80	$7.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $2.24 / $4.57	Professional		$1.02	$2.24	$4.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $10,471.29 / $25,118.86	Facility		$4.79	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.37 / $5.37	Professional		$2.82	$4.37	$5.37
United Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $4.79 / $9.77	Facility		$2.24	$4.79	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.82 / $6.92	Professional		$1.82	$2.82	$6.92