Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $134.24 / $394.22	Facility		$31.08	$134.24	$394.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $43.51 / $153.57	Professional		$31.08	$43.51	$153.57
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Facility		$546.29	$546.29	$546.29
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 $50.04 / $112.59 / $234.57	Facility		$50.04	$112.59	$234.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $54.65 / $116.15	Professional		$30.80	$54.65	$116.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $53.75 / $93.27	Professional		$35.83	$53.75	$93.27
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.83 / $13,785.00 / $13,785.00	Facility		$35.83	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $35.83 / $35.83	Professional		$35.83	$35.83	$35.83
United Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $45.05 / $63.99	Professional		$22.74	$45.05	$63.99