Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $24.08 / $24.08	Facility		$21.97	$24.08	$24.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $23.50 / $30.75	Professional		$17.63	$23.50	$30.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $40.52 / $66.58	Professional		$23.32	$40.52	$66.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $29.16	Professional		$29.16	$29.16	$29.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $45.68 / $53.64	Professional		$41.46	$45.68	$53.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.48 / $187.47 / $456.72	Facility		$181.48	$187.47	$456.72
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $24.12 / $24.79	Professional		$20.50	$24.12	$24.79
United Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $29.63 / $55.79	Professional		$22.53	$29.63	$55.79