Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $60.26 / $257.04	Facility		$41.69	$60.26	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $91.20	Professional		$21.38	$30.20	$91.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $190.55	Professional		$43.65	$43.65	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $39.81 / $54.95	Facility		$35.48	$39.81	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $29.51 / $47.86	Professional		$15.14	$29.51	$47.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $61.66	Professional		$24.55	$39.81	$61.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $10,471.29 / $25,118.86	Facility		$36.31	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $60.26	Professional		$22.91	$33.88	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $33.88 / $69.18	Facility		$15.14	$33.88	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.70 / $45.71	Professional		$14.45	$25.70	$45.71