Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $67.61 / $245.47	Facility		$35.48	$67.61	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $64.57	Professional		$25.12	$28.84	$64.57
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $77.62 / $162.18	Facility		$40.74	$77.62	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $40.74 / $79.43	Professional		$23.44	$40.74	$79.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $66.07	Professional		$24.55	$39.81	$66.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $10,471.29 / $25,118.86	Facility		$35.48	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $35.48	Professional		$27.54	$27.54	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $35.48 / $72.44	Facility		$16.60	$35.48	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.89 / $51.29	Professional		$14.45	$20.89	$51.29