Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.83 / $62.75 / $103.74	Facility		$41.83	$62.75	$103.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $41.83 / $41.83	Professional		$41.83	$41.83	$41.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $40.84 / $8,459.92	Facility		$34.71	$40.84	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $40.84 / $40.84	Professional		$40.84	$40.84	$40.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $25.72 / $25.72	Facility		$21.86	$25.72	$25.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.72 / $26.69	Professional		$21.86	$25.72	$26.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.51 / $66.42 / $78.14	Professional		$62.51	$66.42	$78.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.83 / $62.75 / $103.74	Facility		$41.83	$62.75	$103.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $41.83 / $95.79	Professional		$41.83	$41.83	$95.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $25.72 / $25.72	Facility		$21.86	$25.72	$25.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.72 / $33.28	Professional		$21.86	$25.72	$33.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $71.44 / $90.01	Professional		$28.58	$71.44	$90.01