Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.33 / $198.68 / $219.98	Facility		$83.33	$198.68	$219.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Professional		$144.00	$144.00	$144.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $64,999.35 / $64,999.35 / $64,999.35	Professional		$64,999.35	$64,999.35	$64,999.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $178.68 / $260.37	Facility		$78.84	$178.68	$260.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $232.00 / $232.00	Professional		$232.00	$232.00	$232.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $68,899.31	Professional		$55,249.45	$55,249.45	$68,899.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $83.33 / $167.43 / $219.98	Facility		$83.33	$167.43	$219.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Professional		$144.00	$144.00	$144.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $76.44 / $176.94 / $260.37	Facility		$76.44	$176.94	$260.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $30.80 / $232.00	Professional		$30.80	$30.80	$232.00