Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.84 / $211.31	Facility		$80.04	$80.84	$211.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.84	Professional		$80.04	$80.04	$80.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $68.33 / $80.04 / $8,639.91	Facility		$68.33	$80.04	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Facility		$80.04	$80.04	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $86.46	Professional		$80.04	$80.04	$86.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $80.04 / $102.24	Professional		$68.03	$80.04	$102.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.84 / $211.31	Facility		$80.04	$80.84	$211.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.84	Professional		$80.04	$80.04	$80.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $75.51 / $80.04 / $80.04	Facility		$75.51	$80.04	$80.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $90.61	Professional		$80.04	$80.04	$90.61
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $120.06	Professional		$80.04	$80.04	$120.06