Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $43.68 / $178.92	Facility		$22.39	$43.68	$178.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $28.54 / $38.43	Professional		$21.48	$28.54	$38.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $198.00 / $198.00 / $198.00	Facility		$198.00	$198.00	$198.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $76.50 / $159.51	Facility		$34.03	$76.50	$159.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $40.43 / $100.39	Professional		$21.69	$40.43	$100.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $36.54 / $63.42	Professional		$24.37	$36.54	$63.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $13,785.00 / $13,785.00	Facility		$24.37	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $24.37 / $24.37	Professional		$24.37	$24.37	$24.37
United Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $29.59 / $45.21	Professional		$15.46	$29.59	$45.21