Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $74.72 / $94.89	Facility		$74.72	$74.72	$94.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $74.72 / $74.72	Professional		$70.33	$74.72	$74.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $83.52 / $8,459.92	Facility		$70.98	$83.52	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $83.52 / $83.52 / $83.52	Professional		$83.52	$83.52	$83.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Facility		$136.94	$136.94	$136.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $87.91 / $88.97	Professional		$74.72	$87.91	$88.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $94.89 / $106.85	Facility		$74.72	$94.89	$106.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $74.72 / $94.89	Professional		$70.33	$74.72	$94.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Facility		$136.94	$136.94	$136.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94
United Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $83.51 / $108.98	Professional		$83.51	$83.51	$108.98