Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $42.60 / $84.96	Facility		$8.52	$42.60	$84.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $11.07 / $18.07	Professional		$8.52	$11.07	$18.07
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $65.25 / $348.32	Facility		$29.34	$65.25	$348.32
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $21.32 / $28.99	Professional		$9.09	$21.32	$28.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $36.09 / $75.75	Facility		$11.55	$36.09	$75.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $15.61 / $23.75	Professional		$7.84	$15.61	$23.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.09 / $13.22	Professional		$6.61	$9.09	$13.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $13,785.00 / $13,785.00	Facility		$11.57	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $11.57 / $11.57	Professional		$11.57	$11.57	$11.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $10.46 / $16.53	Professional		$7.03	$10.46	$16.53