Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.88 / $66.88 / $73.04	Facility		$66.88	$66.88	$73.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $73.04 / $418.29	Professional		$60.59	$73.04	$418.29
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 $1,062.39 / $1,062.39 / $1,062.39	Facility		$1,062.39	$1,062.39	$1,062.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.16 / $1,619.16 / $1,619.16	Professional		$1,619.16	$1,619.16	$1,619.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.88 / $66.88 / $73.04	Facility		$66.88	$66.88	$73.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $73.04 / $390.18	Professional		$60.59	$73.04	$390.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,062.39 / $1,062.39 / $1,062.39	Facility		$1,062.39	$1,062.39	$1,062.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.66 / $1,438.66 / $1,986.79	Professional		$1,438.66	$1,438.66	$1,986.79