Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $21.62	Facility		$15.00	$15.00	$21.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $15.00 / $28.97	Professional		$13.88	$15.00	$28.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $43.43 / $57.42	Professional		$43.43	$43.43	$57.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $17.00 / $23.14	Professional		$12.00	$17.00	$23.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $50.61	Professional		$40.00	$45.00	$50.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.89 / $224.89 / $224.89	Facility		$224.89	$224.89	$224.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.17 / $47.12	Professional		$12.88	$28.17	$47.12
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $34.70 / $66.77	Professional		$24.36	$34.70	$66.77