Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.00 / $4,894.00 / $8,933.00	Facility		$1,384.00	$4,894.00	$8,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.00 / $1,621.00 / $7,799.00	Professional		$685.00	$1,621.00	$7,799.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $64,999.35 / $64,999.35	Professional		$55,249.45	$64,999.35	$64,999.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $55,249.45	Professional		$55,249.45	$55,249.45	$55,249.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,350.00 / $9,617.00	Facility		$1,151.00	$5,350.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $685.00 / $1,621.00 / $7,799.00	Professional		$685.00	$1,621.00	$7,799.00
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00