Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $79.43 / $208.93	Facility		$51.29	$79.43	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $72.44	Professional		$51.29	$51.29	$72.44
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $102.33 / $117.49	Facility		$70.79	$102.33	$117.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $75.86	Professional		$12.02	$12.88	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $112.20 / $120.23	Facility		$50.12	$112.20	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $97.72	Professional		$36.31	$67.61	$97.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $11,481.54 / $26,302.68	Facility		$125.89	$11,481.54	$26,302.68
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $51.29 / $104.71	Facility		$23.99	$51.29	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $52.48	Professional		$21.38	$30.90	$52.48