Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $79.05 / $828.45	Facility		$2.75	$79.05	$828.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.69 / $2.75	Professional		$2.59	$2.69	$2.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $892.23 / $2,351.46 / $6,479.07	Facility		$892.23	$2,351.46	$6,479.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $21.13 / $23.24	Facility		$2.75	$21.13	$23.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $17.03 / $13,785.00	Facility		$1.67	$17.03	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.31	Professional		$4.79	$4.79	$5.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $3.24	Professional		$2.70	$2.70	$3.24