Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $266.93	Facility		$125.89	$125.89	$266.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.91 / $225.78	Professional		$125.89	$190.91	$225.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $967.00 / $967.00	Facility		$967.00	$967.00	$967.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $275.20 / $275.20 / $275.20	Professional		$275.20	$275.20	$275.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $306.08 / $306.08	Facility		$306.08	$306.08	$306.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.97 / $372.63 / $399.05	Professional		$288.97	$372.63	$399.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $266.93	Facility		$125.89	$125.89	$266.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.50 / $248.61	Professional		$125.89	$194.50	$248.61
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $306.08 / $306.08	Facility		$306.08	$306.08	$306.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
United Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $149.41 / $275.20	Professional		$144.59	$149.41	$275.20