Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $19.44 / $100.17	Facility		$2.24	$19.44	$100.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $3.54	Professional		$2.79	$2.79	$3.54
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $94.62 / $473.11	Facility		$1.73	$94.62	$473.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $50.90 / $50.90	Professional		$50.90	$50.90	$50.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $12.41 / $46.71	Facility		$2.79	$12.41	$46.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $2.79	Professional		$2.79	$2.79	$2.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.90 / $3.40	Professional		$2.79	$2.90	$3.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $11.25 / $13,785.00	Facility		$2.65	$11.25	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.50 / $2.50	Professional		$2.02	$2.50	$2.50
United Facility/Professional Facility Modifier Low / Median / High Price $44.69 / $44.69 / $44.69	Facility		$44.69	$44.69	$44.69
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.94 / $3.32	Professional		$2.79	$2.94	$3.32