Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $490.20 / $810.46	Facility		$326.80	$490.20	$810.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $326.80 / $326.80	Professional		$307.58	$326.80	$326.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $296.22 / $346.98 / $8,459.92	Facility		$296.22	$346.98	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $365.24 / $365.24 / $365.24	Professional		$365.24	$365.24	$365.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Facility		$326.80	$326.80	$326.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Professional		$326.80	$326.80	$326.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $326.77 / $326.77 / $326.77	Professional		$326.77	$326.77	$326.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $490.20 / $843.14	Facility		$326.80	$490.20	$843.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $326.80 / $461.36	Professional		$307.58	$326.80	$461.36
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Facility		$326.80	$326.80	$326.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Professional		$326.80	$326.80	$326.80
United Facility/Professional Facility Modifier Low / Median / High Price $339.61 / $339.61 / $339.61	Facility		$339.61	$339.61	$339.61
United Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $320.39 / $384.47	Professional		$320.39	$320.39	$384.47