Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $99.88 / $343.88	Facility		$27.16	$99.88	$343.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $40.92 / $68.43	Professional		$26.05	$40.92	$68.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $34.85 / $34.85	Facility		$34.85	$34.85	$34.85
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $29.12 / $36.84	Professional		$13.50	$29.12	$36.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $77.23 / $160.79	Facility		$34.40	$77.23	$160.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $43.37 / $97.97	Professional		$25.49	$43.37	$97.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $36.84 / $50.88	Professional		$24.56	$36.84	$50.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $8,702.00 / $13,785.00	Facility		$24.56	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $24.56 / $24.56	Professional		$24.56	$24.56	$24.56
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $55.13	Professional		$14.74	$21.05	$55.13