Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $65.84 / $188.10	Facility		$35.09	$65.84	$188.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.28 / $41.98	Professional		$22.81	$31.28	$41.98
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $93.77 / $291.49 / $1,357.65	Facility		$93.77	$291.49	$1,357.65
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $11.20 / $11.20	Professional		$9.75	$11.20	$11.20
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 $23.66 / $40.96 / $97.97	Professional		$23.66	$40.96	$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 / $4,207.00 / $13,785.00	Facility		$24.56	$4,207.00	$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 Professional Modifier Low / Median / High Price $14.74 / $21.05 / $52.12	Professional		$14.74	$21.05	$52.12