Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $168.93 / $635.85	Facility		$14.73	$168.93	$635.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $16.05	Professional		$14.73	$14.73	$16.05
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $68.51 / $68.51 / $68.51	Facility		$68.51	$68.51	$68.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $17.26 / $22.34	Facility		$14.73	$17.26	$22.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.98 / $15.99	Professional		$15.29	$15.98	$15.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,628.00 / $7,628.00 / $7,628.00	Facility		$7,628.00	$7,628.00	$7,628.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $16.00	Professional		$14.70	$14.70	$16.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $15.61	Professional		$14.73	$14.73	$15.61