Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.31 / $669.93 / $1,098.77	Facility		$223.31	$669.93	$1,098.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $212.80 / $223.31	Professional		$157.63	$212.80	$223.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $204.92 / $204.92 / $204.92	Professional		$204.92	$204.92	$204.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $341.54 / $871.46	Facility		$175.89	$341.54	$871.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,266.31 / $1,266.31 / $1,266.31	Professional		$1,266.31	$1,266.31	$1,266.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.86 / $354.67 / $648.91	Professional		$275.86	$354.67	$648.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $245.64 / $614.99 / $1,098.77	Facility		$245.64	$614.99	$1,098.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $212.80 / $620.79	Professional		$165.51	$212.80	$620.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $341.54 / $871.46	Facility		$175.89	$341.54	$871.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,266.31 / $1,266.31 / $1,266.31	Professional		$1,266.31	$1,266.31	$1,266.31
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $157.63 / $394.08	Professional		$110.34	$157.63	$394.08