Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,747.00 / $8,017.00	Facility		$832.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $139.01 / $155.37	Professional		$108.51	$139.01	$155.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.47 / $159.47 / $159.47	Facility		$159.47	$159.47	$159.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $115.96 / $665.74	Professional		$115.96	$115.96	$665.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $198.15 / $198.15	Professional		$198.15	$198.15	$198.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,389.00 / $8,017.00	Facility		$934.00	$3,389.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $141.72 / $4,575.00	Professional		$108.51	$141.72	$4,575.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $159.47 / $159.47 / $159.47	Facility		$159.47	$159.47	$159.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $115.96 / $665.74	Professional		$115.96	$115.96	$665.74
United Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $674.00 / $4,300.00	Facility		$133.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.32 / $171.63 / $282.11	Professional		$134.32	$171.63	$282.11