Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $352.51 / $941.29	Facility		$349.02	$352.51	$941.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $352.51	Professional		$349.02	$349.02	$352.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $297.95 / $349.02 / $8,639.91	Facility		$297.95	$349.02	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $349.02	Professional		$349.02	$349.02	$349.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.01 / $349.01 / $349.01	Facility		$349.01	$349.01	$349.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $362.19	Professional		$349.01	$349.01	$362.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $345.72 / $349.02 / $472.57	Professional		$345.72	$349.02	$472.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $360.12 / $941.29	Facility		$349.02	$360.12	$941.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $360.12	Professional		$349.02	$349.02	$360.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $329.26 / $349.01 / $349.01	Facility		$329.26	$349.01	$349.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $395.11	Professional		$349.01	$349.01	$395.11
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $601.54	Professional		$349.02	$349.02	$601.54