Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $82.10 / $289.13	Facility		$51.31	$82.10	$289.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $68.25	Professional		$51.31	$51.31	$68.25
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $41.05 / $139.66 / $1,080.00	Facility		$41.05	$139.66	$1,080.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $43.61 / $152.06	Professional		$9.75	$43.61	$152.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $113.31 / $211.27	Facility		$50.16	$113.31	$211.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $55.03 / $114.78	Professional		$34.04	$55.03	$114.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Facility		$51.31	$51.31	$51.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $53.88 / $74.40	Professional		$35.92	$53.88	$74.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $35.92 / $8,702.00	Facility		$35.92	$35.92	$8,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $46.18 / $52.34	Professional		$23.09	$46.18	$52.34