Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $26,385.64	Facility		$13.26	$13.26	$26,385.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $13.26 / $13.26	Professional		$12.48	$13.26	$13.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $967.00 / $967.00	Facility		$967.00	$967.00	$967.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $13.26 / $16.73	Professional		$11.27	$13.26	$16.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $26,385.64	Facility		$13.26	$13.26	$26,385.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $13.26 / $13.26	Professional		$12.48	$13.26	$13.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $16.25	Professional		$13.00	$13.00	$16.25