Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $206.72 / $262.52	Facility		$206.72	$206.72	$262.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $206.72 / $206.72	Professional		$206.72	$206.72	$206.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $145.35 / $171.00 / $8,459.92	Facility		$145.35	$171.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $171.00 / $171.00	Professional		$171.00	$171.00	$171.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,249.62 / $38,249.62 / $38,249.62	Professional		$38,249.62	$38,249.62	$38,249.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $262.52 / $295.61	Facility		$206.72	$262.52	$295.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $206.72 / $262.52	Professional		$206.72	$206.72	$262.52