Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,377.00 / $1,377.00	Professional		$1,296.00	$1,377.00	$1,377.00
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 $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.45 / $1,377.00 / $1,821.56	Professional		$1,170.45	$1,377.00	$1,821.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,377.00 / $1,377.00	Professional		$1,296.00	$1,377.00	$1,377.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,906.66	Professional		$1,350.00	$1,350.00	$1,906.66