Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $29.17	Facility		$19.00	$19.00	$29.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $19.57 / $300.00	Professional		$18.73	$19.57	$300.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $54.98 / $54.98	Professional		$54.98	$54.98	$54.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $25.56 / $30.09	Professional		$21.00	$25.56	$30.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $48.43	Professional		$40.00	$45.00	$48.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.22 / $376.22 / $793.32	Facility		$315.22	$376.22	$793.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $28.17 / $47.12	Professional		$18.00	$28.17	$47.12
United Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $34.70 / $69.45	Professional		$23.32	$34.70	$69.45