Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $124.11 / $255.74	Facility		$27.16	$124.11	$255.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $30.59 / $41.98	Professional		$22.81	$30.59	$41.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $29.12 / $29.12	Professional		$29.12	$29.12	$29.12
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 Facility Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Facility		$19.30	$19.30	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $21.05 / $52.12	Professional		$14.56	$21.05	$52.12