Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.89 / $42.89 / $1,359.00	Facility		$42.89	$42.89	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $45.92 / $67.09	Professional		$41.92	$45.92	$67.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $29.92 / $29.92	Professional		$29.92	$29.92	$29.92
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 $47.01 / $55.30 / $102.47	Professional		$47.01	$55.30	$102.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.41 / $59.29 / $88.79	Professional		$47.41	$59.29	$88.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.89 / $42.89 / $1,812.00	Facility		$42.89	$42.89	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $49.28 / $85.78	Professional		$41.95	$49.28	$85.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $60.32 / $88.79	Professional		$47.49	$60.32	$88.79
United Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $64.76 / $105.48	Professional		$48.47	$64.76	$105.48