Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.03 / $377.40 / $596.70	Facility		$191.03	$377.40	$596.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $211.65 / $249.00 / $8,459.92	Facility		$211.65	$249.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $249.00 / $249.00	Professional		$249.00	$249.00	$249.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $240.00 / $300.00	Professional		$188.60	$240.00	$300.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $382.50 / $632.40	Facility		$255.00	$382.50	$632.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $255.00 / $279.38	Professional		$223.50	$255.00	$279.38
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $250.00 / $345.25	Professional		$100.00	$250.00	$345.25