Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $63.28 / $210.09	Facility		$25.31	$63.28	$210.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $30.38 / $39.64	Professional		$22.81	$30.38	$39.64
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $141.10 / $225.90 / $318.33	Facility		$141.10	$225.90	$318.33
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $37.24 / $88.96	Professional		$13.50	$37.24	$88.96
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 Facility Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Facility		$19.30	$19.30	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $48.95	Professional		$14.74	$21.05	$48.95