Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $38.95 / $120.30	Facility		$15.51	$38.95	$120.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $17.91 / $23.99	Professional		$14.89	$17.91	$23.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $99.45 / $99.45 / $246.24	Facility		$99.45	$99.45	$246.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $44.03 / $91.88	Facility		$19.66	$44.03	$91.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $24.91 / $56.29	Professional		$14.66	$24.91	$56.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $21.05 / $29.07	Professional		$14.04	$21.05	$29.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $13,785.00 / $13,785.00	Facility		$14.04	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.04 / $14.04	Professional		$14.04	$14.04	$14.04
United Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $11.03 / $11.03	Facility		$11.03	$11.03	$11.03
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.03 / $29.79	Professional		$8.42	$12.03	$29.79