Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.13 / $160.13 / $220.42	Facility		$160.13	$160.13	$220.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $173.56 / $222.86	Professional		$143.34	$173.56	$222.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Facility		$306.00	$306.00	$306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
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 $160.13 / $173.56 / $248.19	Facility		$160.13	$173.56	$248.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $173.56 / $220.42	Professional		$142.72	$173.56	$220.42
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Facility		$306.00	$306.00	$306.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $423.70	Professional		$300.00	$300.00	$423.70