Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $45.25 / $45.25	Professional		$42.59	$45.25	$45.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,963.10 / $3,486.00 / $8,639.91	Facility		$2,963.10	$3,486.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,486.00 / $3,486.00 / $3,486.00	Professional		$3,486.00	$3,486.00	$3,486.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $30.58 / $30.58	Professional		$25.99	$30.58	$30.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $45.25 / $45.25	Professional		$42.59	$45.25	$45.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $66.54	Professional		$44.36	$44.36	$66.54