Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,247.00	Facility		$1,013.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.20 / $868.69 / $2,093.05	Professional		$549.20	$868.69	$2,093.05
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
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 $549.20 / $868.69 / $2,193.96	Professional		$549.20	$868.69	$2,193.96
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 $1,616.34 / $2,329.38 / $3,862.09	Professional		$1,616.34	$2,329.38	$3,862.09