Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $3,748.00 / $8,017.00	Facility		$1,084.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.63 / $1,280.86 / $2,116.54	Professional		$1,086.63	$1,280.86	$2,116.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,330.28 / $2,330.28 / $2,330.28	Professional		$2,330.28	$2,330.28	$2,330.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $863.73 / $1,377.47 / $3,494.00	Professional		$863.73	$1,377.47	$3,494.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,793.63 / $2,449.42 / $3,890.60	Professional		$1,793.63	$2,449.42	$3,890.60