Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $60.83 / $231.95	Facility		$25.30	$60.83	$231.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $32.03 / $44.61	Professional		$25.31	$32.03	$44.61
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $35.47 / $35.47	Professional		$35.47	$35.47	$35.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.63 / $89.50 / $185.81	Facility		$46.63	$89.50	$185.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $45.91 / $97.97	Professional		$25.49	$45.91	$97.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $42.58 / $58.80	Professional		$28.39	$42.58	$58.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $13,785.00 / $13,785.00	Facility		$28.39	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $28.39 / $28.39	Professional		$28.39	$28.39	$28.39
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $24.33 / $53.49	Professional		$17.03	$24.33	$53.49