Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $75.00 / $219.07	Facility		$41.38	$75.00	$219.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $45.51	Professional		$41.38	$41.38	$45.51
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $118.57 / $847.36	Facility		$33.78	$118.57	$847.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $89.57 / $211.20	Professional		$41.38	$89.57	$211.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.45 / $52.35 / $122.89	Facility		$40.45	$52.35	$122.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $44.64 / $92.12	Professional		$27.33	$44.64	$92.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $124.14 / $124.14 / $124.14	Facility		$124.14	$124.14	$124.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $43.45 / $60.00	Professional		$28.97	$43.45	$60.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $11.59 / $8,702.00	Facility		$11.59	$11.59	$8,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $37.24 / $46.19	Professional		$18.62	$37.24	$46.19