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 $272.50 / $344.62 / $449.71	Professional		$272.50	$344.62	$449.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $448.01 / $448.01 / $448.01	Professional		$448.01	$448.01	$448.01
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 $272.50 / $382.41 / $4,831.00	Professional		$272.50	$382.41	$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 $393.10 / $534.57 / $838.89	Professional		$393.10	$534.57	$838.89