Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $67.90 / $200.72	Facility		$27.16	$67.90	$200.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $29.83 / $41.98	Professional		$18.60	$29.83	$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 $34.29 / $77.23 / $160.79	Facility		$34.29	$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 $16.48 / $35.09 / $72.02	Facility		$16.48	$35.09	$72.02
United Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $21.05 / $51.99	Professional		$14.56	$21.05	$51.99