Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $21.30 / $89.85	Facility		$8.51	$21.30	$89.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $9.86 / $13.45	Professional		$6.49	$9.86	$13.45
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $88.90 / $207.36 / $503.52	Facility		$88.90	$207.36	$503.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $9.25 / $9.25	Professional		$9.25	$9.25	$9.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $36.81 / $77.03	Facility		$11.74	$36.81	$77.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $14.03 / $24.26	Professional		$7.83	$14.03	$24.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.25 / $13.45	Professional		$6.72	$9.25	$13.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $8,702.00 / $13,785.00	Facility		$11.77	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $11.77 / $11.77	Professional		$11.77	$11.77	$11.77
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $10.09 / $16.48	Professional		$6.51	$10.09	$16.48