Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.88 / $48.81	Facility		$0.14	$0.88	$48.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.10	Professional		$0.02	$0.02	$0.10
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $96.47 / $232.56	Facility		$0.51	$96.47	$232.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.07 / $0.15	Facility		$0.03	$0.07	$0.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.14	Professional		$0.02	$0.02	$0.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $5.15 / $5.15	Professional		$0.02	$5.15	$5.15