Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $4,051.00 / $8,017.00	Facility		$1,084.00	$4,051.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $672.00 / $1,208.42	Professional		$672.00	$672.00	$1,208.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
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 $1,013.00 / $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 $672.00 / $1,426.00 / $5,958.00	Professional		$672.00	$1,426.00	$5,958.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $6,885.00 / $18,778.52	Facility		$2,468.00	$6,885.00	$18,778.52