Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.05 / $270.89 / $478.84	Facility		$26.05	$270.89	$478.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $37.06 / $97.38	Professional		$26.05	$37.06	$97.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $329.00 / $329.00	Facility		$329.00	$329.00	$329.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $56.34 / $117.60	Professional		$19.13	$56.34	$117.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $15.62 / $21.18	Professional		$15.62	$15.62	$21.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.84 / $483.09 / $1,047.55	Facility		$389.84	$483.09	$1,047.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $74.20 / $122.60	Professional		$49.99	$74.20	$122.60
United Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $65.02 / $94.39	Professional		$28.37	$65.02	$94.39