Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,505.10 / $8,044.81 / $26,112.00	Facility		$3,505.10	$8,044.81	$26,112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,505.10 / $3,913.65 / $16,320.00	Professional		$3,505.10	$3,913.65	$16,320.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14,759.36 / $17,600.00 / $26,400.00	Facility		$14,759.36	$17,600.00	$26,400.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17,600.00 / $17,600.00 / $17,600.00	Professional		$17,600.00	$17,600.00	$17,600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $16,960.00	Facility		$16,320.00	$16,960.00	$16,960.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $21,200.16	Professional		$16,320.00	$16,960.00	$21,200.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14,720.00 / $16,000.00 / $19,200.00	Professional		$14,720.00	$16,000.00	$19,200.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,505.10 / $5,923.62 / $10,430.00	Facility		$3,505.10	$5,923.62	$10,430.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,505.10 / $4,206.12 / $16,320.00	Professional		$3,505.10	$4,206.12	$16,320.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $16,960.00	Facility		$16,320.00	$16,960.00	$16,960.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $21,200.16	Professional		$16,320.00	$16,960.00	$21,200.16
United Facility/Professional Professional Modifier Low / Median / High Price $7,680.00 / $19,200.00 / $25,056.00	Professional		$7,680.00	$19,200.00	$25,056.00