Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.53 / $13.83 / $57.00	Facility		$5.53	$13.83	$57.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $6.41 / $8.55	Professional		$5.31	$6.41	$8.55
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $60.35 / $60.35 / $60.35	Facility		$60.35	$60.35	$60.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $19.48 / $44.63	Facility		$6.80	$19.48	$44.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.12 / $10.69	Professional		$4.68	$5.12	$10.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $4.87 / $5.84	Professional		$3.90	$4.87	$5.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $8,702.00 / $13,785.00	Facility		$6.82	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $6.82 / $6.82	Professional		$6.57	$6.82	$6.82
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.33 / $9.99	Professional		$4.13	$6.33	$9.99