Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $85.68 / $740.00	Facility		$14.00	$85.68	$740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $22.61 / $128.52	Professional		$13.43	$22.61	$128.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $438.30 / $438.30 / $438.30	Facility		$438.30	$438.30	$438.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $46.91 / $98.15	Facility		$20.94	$46.91	$98.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $26.63 / $62.25	Professional		$15.51	$26.63	$62.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $22.49 / $39.03	Professional		$14.99	$22.49	$39.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $8,702.00 / $13,785.00	Facility		$14.99	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $14.99 / $14.99	Professional		$14.99	$14.99	$14.99
United Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $11.78 / $11.78	Facility		$11.78	$11.78	$11.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $17.14 / $27.08	Professional		$9.51	$17.14	$27.08