Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $63.10 / $162.18	Facility		$18.20	$63.10	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $54.95	Professional		$8.91	$12.59	$54.95
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $138.04 / $208.93	Facility		$89.13	$138.04	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $35.48 / $74.13	Facility		$15.85	$35.48	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $23.44	Professional		$7.94	$12.02	$23.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.94 / $13.49	Professional		$6.46	$7.94	$13.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $10,471.29 / $25,118.86	Facility		$16.22	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $14.13	Professional		$10.00	$11.48	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $16.22 / $33.11	Facility		$7.59	$16.22	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.55 / $16.60	Professional		$6.46	$9.55	$16.60