Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.77 / $3.10	Facility		$0.39	$0.77	$3.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.39	Professional		$0.39	$0.39	$0.39
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $151.76 / $273.60	Facility		$0.41	$151.76	$273.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.34 / $0.39	Facility		$0.26	$0.34	$0.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.49	Professional		$0.39	$0.39	$0.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $2.67 / $3.03	Professional		$0.42	$2.67	$3.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.41 / $0.43	Professional		$0.35	$0.41	$0.43
United Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.39 / $2.64	Professional		$0.16	$0.39	$2.64