Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $68.81 / $87.39	Facility		$68.81	$68.81	$87.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $68.81 / $68.81	Professional		$64.76	$68.81	$68.81
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 $68.81 / $68.81 / $68.81	Facility		$68.81	$68.81	$68.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Professional		$68.81	$68.81	$68.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $16.63 / $16.63	Professional		$16.63	$16.63	$16.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $68.81 / $87.39	Facility		$68.81	$68.81	$87.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $68.81 / $68.81	Professional		$64.76	$68.81	$68.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Facility		$68.81	$68.81	$68.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Professional		$68.81	$68.81	$68.81