Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.72 / $187.00 / $187.00	Facility		$155.72	$187.00	$187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $187.00 / $237.21	Professional		$155.72	$187.00	$237.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.24 / $194.24 / $194.24	Facility		$194.24	$194.24	$194.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $141.69 / $813.86	Professional		$141.69	$141.69	$813.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $266.08 / $266.08 / $266.08	Professional		$266.08	$266.08	$266.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $187.00 / $187.00	Facility		$187.00	$187.00	$187.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $187.24 / $237.21	Professional		$155.72	$187.24	$237.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $194.24 / $194.24 / $194.24	Facility		$194.24	$194.24	$194.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $141.69 / $813.86	Professional		$141.69	$141.69	$813.86
United Facility/Professional Professional Modifier Low / Median / High Price $187.52 / $235.01 / $384.42	Professional		$187.52	$235.01	$384.42