Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Facility		$240.00	$240.00	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $225.75 / $225.75 / $225.75	Professional		$225.75	$225.75	$225.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Facility		$240.00	$240.00	$240.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $408.00	Professional		$240.00	$240.00	$408.00
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.39 / $316.75 / $491.39	Professional		$222.39	$316.75	$491.39