Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $20.89 / $44.67	Facility		$4.27	$20.89	$44.67
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $154.88 / $275.42	Facility	26	$64.57	$154.88	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $38.90 / $52.48	Professional		$12.02	$38.90	$52.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $44.67 / $72.44	Professional	26	$16.98	$44.67	$72.44
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $7.08 / $10.96	Facility		$6.61	$7.08	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $100.00	Professional		$53.70	$66.07	$100.00
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $61.66 / $93.33	Professional	26	$50.12	$61.66	$93.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $9,120.11 / $25,703.96	Facility		$3.80	$9,120.11	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $66.07	Professional		$12.02	$14.13	$66.07
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $34.67 / $79.43	Professional	26	$22.91	$34.67	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $3.09 / $6.46	Facility		$1.45	$3.09	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.39 / $45.71	Professional		$15.14	$22.39	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $22.39 / $43.65	Professional	26	$15.14	$22.39	$43.65