Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.18 / $308.18 / $627.65	Facility		$76.18	$308.18	$627.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $76.58 / $101.79	Professional		$65.84	$76.58	$101.79
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $190.51 / $585.60 / $2,005.37	Facility		$190.51	$585.60	$2,005.37
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.42 / $187.65 / $389.96	Facility		$83.42	$187.65	$389.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $85.02 / $237.60	Professional		$56.26	$85.02	$237.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $89.36 / $123.40	Professional		$59.57	$89.36	$123.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.57 / $13,785.00 / $13,785.00	Facility		$59.57	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $59.57 / $59.57	Professional		$59.57	$59.57	$59.57
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $51.06 / $102.12	Professional		$35.74	$51.06	$102.12