Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $48.98 / $239.88	Facility		$38.90	$48.98	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $60.26	Professional		$21.88	$26.92	$60.26
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $74.13 / $154.88	Facility		$38.90	$74.13	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $70.79	Professional		$19.95	$33.88	$70.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $63.10	Professional		$23.44	$35.48	$63.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $10,471.29 / $25,118.86	Facility		$33.11	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $33.11	Professional		$26.30	$26.30	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $33.11 / $69.18	Facility		$15.85	$33.11	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.44 / $41.69	Professional		$14.45	$23.44	$41.69