Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $492.46 / $1,287.24	Facility		$487.59	$492.46	$1,287.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $492.46	Professional		$487.59	$487.59	$492.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $416.26 / $487.59 / $8,639.91	Facility		$416.26	$487.59	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Professional		$487.59	$487.59	$487.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Facility		$487.59	$487.59	$487.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $505.99	Professional		$487.59	$487.59	$505.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $414.45 / $487.59 / $622.83	Professional		$414.45	$487.59	$622.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $492.46 / $1,287.24	Facility		$487.59	$492.46	$1,287.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $492.46	Professional		$487.59	$487.59	$492.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $459.99 / $487.59 / $487.59	Facility		$459.99	$487.59	$487.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $510.35	Professional		$487.59	$487.59	$510.35
United Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $744.72	Professional		$487.59	$487.59	$744.72