Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $24.38 / $39.26	Facility		$15.83	$24.38	$39.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $15.83 / $15.83	Professional		$15.83	$15.83	$15.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $14.96 / $8,459.92	Facility		$12.72	$14.96	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $14.96 / $14.96	Professional		$14.96	$14.96	$14.96
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 $16.88 / $16.88 / $21.09	Professional		$16.88	$16.88	$21.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $15.32 / $18.02	Professional		$14.42	$15.32	$18.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $23.75 / $39.26	Facility		$15.83	$23.75	$39.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $15.83 / $36.25	Professional		$15.83	$15.83	$36.25
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 $16.88 / $16.88 / $21.09	Professional		$16.88	$16.88	$21.09
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $17.30 / $20.77	Professional		$6.92	$17.30	$20.77