Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,304.00 / $8,240.00	Facility		$882.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.60 / $738.26 / $904.33	Professional		$356.60	$738.26	$904.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $514.08 / $514.08 / $514.08	Professional		$514.08	$514.08	$514.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $356.60 / $779.09 / $4,831.00	Professional		$356.60	$779.09	$4,831.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $7,000.00 / $12,076.00	Facility		$3,340.00	$7,000.00	$12,076.00
United Facility/Professional Professional Modifier Low / Median / High Price $720.88 / $1,053.51 / $1,664.01	Professional		$720.88	$1,053.51	$1,664.01