Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $6.49 / $17.29	Facility		$2.82	$6.49	$17.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.82 / $3.12	Professional		$2.81	$2.82	$3.12
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $1,547.20 / $3,730.00	Facility		$2.95	$1,547.20	$3,730.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.82 / $3.32	Facility		$2.57	$2.82	$3.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $2.92	Professional		$2.82	$2.82	$2.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.06 / $3.44	Professional		$2.82	$3.06	$3.44
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 $2.35 / $2.52 / $3.29	Professional		$2.35	$2.52	$3.29
United Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $2.84 / $3.38	Professional		$2.58	$2.84	$3.38