Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,607.00 / $9,534.00	Facility		$934.00	$3,607.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.77 / $310.68 / $365.33	Professional		$252.77	$310.68	$365.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $428.23 / $428.23 / $428.23	Professional		$428.23	$428.23	$428.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,056.00 / $10,303.00	Facility		$1,013.00	$4,056.00	$10,303.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $252.77 / $354.47 / $6,832.00	Professional		$252.77	$354.47	$6,832.00
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,305.00 / $3,742.00	Facility		$435.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $411.01 / $672.21	Professional		$327.02	$411.01	$672.21