Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $31.11 / $197.00	Facility		$11.74	$31.11	$197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $11.91 / $16.76	Professional		$9.42	$11.91	$16.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $46.97 / $54.08	Facility		$46.97	$46.97	$54.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $11.48 / $11.48	Professional		$11.38	$11.48	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $130.72 / $130.72	Facility		$80.00	$130.72	$130.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $68.93 / $113.94	Professional		$15.84	$68.93	$113.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.00 / $94.00	Professional		$45.00	$55.00	$94.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.61 / $19.14	Professional		$10.72	$12.61	$19.14
United Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $16.17 / $20.84	Professional		$12.45	$16.17	$20.84