Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $130.69 / $130.69	Professional		$123.00	$130.69	$130.69
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 $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $130.69 / $130.69	Professional		$80.12	$130.69	$130.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $130.69 / $130.69	Professional		$123.00	$130.69	$130.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $160.16	Professional		$128.13	$128.13	$160.16