Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $151.36 / $416.87	Facility		$45.71	$151.36	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $83.18	Professional		$33.11	$38.90	$83.18
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $95.50 / $194.98	Facility		$48.98	$95.50	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $95.50	Professional		$28.84	$50.12	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $81.28	Professional		$30.20	$47.86	$81.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $10,471.29 / $25,118.86	Facility		$42.66	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $42.66	Professional		$33.88	$33.88	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $42.66 / $87.10	Facility		$19.95	$42.66	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.70 / $63.10	Professional		$17.78	$25.70	$63.10