Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $90.00 / $287.43	Facility		$14.83	$90.00	$287.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.42 / $62.70	Professional		$22.81	$31.42	$62.70
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $80.03 / $206.13 / $2,724.75	Facility		$80.03	$206.13	$2,724.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $33.69 / $75.95	Professional		$13.50	$33.69	$75.95
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 / $13,785.00 / $13,785.00	Facility		$24.56	$13,785.00	$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 / $49.00	Professional		$14.74	$21.05	$49.00