Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.35 / $2,020.05 / $3,313.09	Facility		$673.35	$2,020.05	$3,313.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.90 / $641.66 / $673.35	Professional		$519.90	$641.66	$673.35
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $617.89 / $617.89 / $617.89	Professional		$617.89	$617.89	$617.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.36 / $1,029.82 / $2,628.49	Facility		$530.36	$1,029.82	$2,628.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.25 / $910.25 / $1,137.82	Professional		$910.25	$910.25	$1,137.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.59 / $1,072.59 / $1,072.59	Professional		$1,072.59	$1,072.59	$1,072.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $740.69 / $1,854.40 / $3,313.09	Facility		$740.69	$1,854.40	$3,313.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $519.90 / $641.66 / $1,219.15	Professional		$519.90	$641.66	$1,219.15
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $530.36 / $1,029.82 / $2,628.49	Facility		$530.36	$1,029.82	$2,628.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $910.25 / $910.25 / $1,137.82	Professional		$910.25	$910.25	$1,137.82
United Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $475.30 / $1,346.69	Professional		$332.71	$475.30	$1,346.69