Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $104.69 / $1,741.41	Facility		$104.69	$104.69	$1,741.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $104.69 / $132.96	Professional		$104.69	$104.69	$132.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $967.00 / $967.00	Facility		$967.00	$967.00	$967.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $62.16 / $62.16	Professional		$62.16	$62.16	$62.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $62.16 / $62.16	Professional		$62.16	$62.16	$62.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $132.96 / $3,915.75	Facility		$104.69	$132.96	$3,915.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $104.69 / $132.96	Professional		$104.69	$104.69	$132.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $62.16 / $62.16	Professional		$62.16	$62.16	$62.16