Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $85.00 / $85.00	Professional		$80.00	$85.00	$85.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $70.86 / $83.00 / $8,639.91	Facility		$70.86	$83.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $83.00 / $83.00	Professional		$83.00	$83.00	$83.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $85.00 / $85.00	Professional		$72.25	$85.00	$85.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $85.00 / $85.00	Professional		$80.00	$85.00	$85.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $222.23	Professional		$160.91	$160.91	$222.23