Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $131.49 / $154.02 / $8,639.91	Facility		$131.49	$154.02	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $154.02 / $154.02	Professional		$154.02	$154.02	$154.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.10 / $170.71 / $170.71	Professional		$145.10	$170.71	$170.71
United Facility/Professional Professional Modifier Low / Median / High Price $199.56 / $199.56 / $257.89	Professional		$199.56	$199.56	$257.89