Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,247.00	Facility		$1,020.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.60 / $1,689.95 / $3,164.60	Professional		$1,139.60	$1,689.95	$3,164.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $576.32 / $678.02 / $678.02	Professional		$576.32	$678.02	$678.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,112.87 / $7,112.87 / $8,522.02	Professional		$7,112.87	$7,112.87	$8,522.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $792.10 / $792.10 / $792.10	Professional		$792.10	$792.10	$792.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,139.60 / $1,689.95 / $3,164.60	Professional		$1,139.60	$1,689.95	$3,164.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7,112.87 / $7,112.87 / $8,522.02	Professional		$7,112.87	$7,112.87	$8,522.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.16 / $2,232.32 / $3,853.73	Professional		$1,640.16	$2,232.32	$3,853.73