Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $18.38 / $48.76	Facility		$3.67	$18.38	$48.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $4.04 / $4.30	Professional		$3.04	$4.04	$4.30
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $36.90 / $78.30	Facility		$34.85	$36.90	$78.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $10.19 / $21.77	Facility		$3.32	$10.19	$21.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.82 / $7.23	Professional		$3.02	$3.82	$7.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.61 / $3.80	Professional		$1.90	$2.61	$3.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $8,702.00 / $13,785.00	Facility		$3.33	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $4.36	Professional		$3.33	$3.33	$4.36
United Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.85 / $6.60	Professional		$1.90	$2.85	$6.60