Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.19 / $1,689.57 / $2,771.09	Facility		$563.19	$1,689.57	$2,771.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.85 / $536.69 / $563.19	Professional		$434.85	$536.69	$563.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $516.80 / $516.80 / $516.80	Professional		$516.80	$516.80	$516.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.60 / $861.36 / $2,199.29	Facility		$443.60	$861.36	$2,199.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.16 / $761.16 / $951.45	Professional		$761.16	$761.16	$951.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $897.13 / $897.13 / $897.13	Professional		$897.13	$897.13	$897.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $619.51 / $1,551.03 / $2,771.09	Facility		$619.51	$1,551.03	$2,771.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $434.85 / $536.69 / $1,019.71	Professional		$434.85	$536.69	$1,019.71
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $443.60 / $861.36 / $2,199.29	Facility		$443.60	$861.36	$2,199.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $761.16 / $761.16 / $951.45	Professional		$761.16	$761.16	$951.45
United Facility/Professional Facility Modifier Low / Median / High Price $278.27 / $278.27 / $278.27	Facility		$278.27	$278.27	$278.27
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $397.55 / $1,152.89	Professional		$278.27	$397.55	$1,152.89