Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $196.00	Facility		$19.00	$19.00	$196.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $19.57 / $42.65	Professional		$18.76	$19.57	$42.65
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Professional		$83.71	$83.71	$83.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $27.69 / $33.22	Professional		$23.00	$27.69	$33.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $73.77	Professional		$40.00	$45.00	$73.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.47 / $216.59 / $224.89	Facility		$187.47	$216.59	$224.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $40.84 / $68.31	Professional		$31.25	$40.84	$68.31
United Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $51.32 / $102.76	Professional		$35.51	$51.32	$102.76