Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $17.61 / $17.61	Facility		$17.61	$17.61	$17.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $17.61 / $30.52	Professional		$11.29	$17.61	$30.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $59.40 / $59.40	Facility		$59.40	$59.40	$59.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $22.13 / $22.13	Facility		$18.29	$22.13	$22.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $26.04	Professional		$18.80	$18.80	$26.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $33.90 / $47.24	Professional		$33.68	$33.90	$47.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $23.98 / $23.98	Professional		$19.52	$23.98	$23.98
United Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $17.98 / $33.10	Professional		$14.42	$17.98	$33.10