Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $52.96 / $246.74	Facility		$27.16	$52.96	$246.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $33.34 / $41.98	Professional		$26.05	$33.34	$41.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $34.59 / $34.59	Professional		$34.59	$34.59	$34.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $91.66 / $190.99	Facility		$40.74	$91.66	$190.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $44.51 / $97.97	Professional		$25.19	$44.51	$97.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $43.76 / $60.44	Professional		$29.18	$43.76	$60.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.18 / $13,785.00 / $13,785.00	Facility		$29.18	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $29.18 / $29.18	Professional		$29.18	$29.18	$29.18
United Facility/Professional Facility Modifier Low / Median / High Price $22.92 / $22.92 / $22.92	Facility		$22.92	$22.92	$22.92
United Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $25.01 / $52.53	Professional		$17.51	$25.01	$52.53