Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $136.50 / $655.56	Facility		$35.09	$136.50	$655.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $45.62 / $136.85	Professional		$26.05	$45.62	$136.85
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $291.49 / $7,218.36	Facility		$78.56	$291.49	$7,218.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $29.12 / $31.88	Professional		$13.50	$29.12	$31.88
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 / $8,702.00 / $13,785.00	Facility		$24.56	$8,702.00	$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 $12.28 / $21.05 / $42.11	Professional		$12.28	$21.05	$42.11