Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $63.11 / $163.11	Facility		$51.31	$63.11	$163.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $103.20 / $123.69	Facility		$57.70	$103.20	$123.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $13.00 / $75.00	Professional		$12.00	$13.00	$75.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $75.94 / $153.13	Facility		$50.16	$75.94	$153.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Facility		$51.31	$51.31	$51.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $59.41 / $93.49	Professional		$35.92	$59.41	$93.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $35.92 / $12,381.00	Facility		$35.92	$35.92	$12,381.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $55.41	Professional		$21.55	$30.79	$55.41