Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,764.43 / $5,293.29 / $8,681.53	Facility		$1,764.43	$5,293.29	$8,681.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,362.35 / $1,681.40 / $1,764.43	Professional		$1,362.35	$1,681.40	$1,764.43
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,619.12 / $1,619.12 / $1,619.12	Professional		$1,619.12	$1,619.12	$1,619.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,389.75 / $2,698.54 / $6,887.98	Facility		$1,389.75	$2,698.54	$6,887.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,385.08 / $2,385.08 / $2,981.34	Professional		$2,385.08	$2,385.08	$2,981.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,810.63 / $2,810.63 / $2,810.63	Professional		$2,810.63	$2,810.63	$2,810.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,940.87 / $4,859.25 / $8,681.53	Facility		$1,940.87	$4,859.25	$8,681.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,362.35 / $1,681.40 / $3,194.66	Professional		$1,362.35	$1,681.40	$3,194.66
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,389.75 / $2,698.54 / $6,887.98	Facility		$1,389.75	$2,698.54	$6,887.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,385.08 / $2,385.08 / $2,981.34	Professional		$2,385.08	$2,385.08	$2,981.34
United Facility/Professional Facility Modifier Low / Median / High Price $871.84 / $871.84 / $871.84	Facility		$871.84	$871.84	$871.84
United Facility/Professional Professional Modifier Low / Median / High Price $871.84 / $1,245.48 / $3,217.49	Professional		$871.84	$1,245.48	$3,217.49