Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $98.25 / $357.22	Facility		$33.58	$98.25	$357.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $41.98 / $63.66	Professional		$22.81	$41.98	$63.66
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $80.03 / $329.16 / $6,670.83	Facility		$80.03	$329.16	$6,670.83
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $18.85 / $29.12	Professional		$18.85	$18.85	$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 / $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 / $51.99	Professional		$14.74	$21.05	$51.99