Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $670.26 / $1,894.94	Facility		$663.63	$670.26	$1,894.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $670.26	Professional		$663.63	$663.63	$670.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $566.54 / $663.63 / $8,639.91	Facility		$566.54	$663.63	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Professional		$663.63	$663.63	$663.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Facility		$663.63	$663.63	$663.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $719.97	Professional		$663.63	$663.63	$719.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $564.09 / $663.63 / $847.69	Professional		$564.09	$663.63	$847.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $724.96 / $1,894.94	Facility		$663.63	$724.96	$1,894.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $724.96	Professional		$663.63	$663.63	$724.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $626.05 / $663.63 / $663.63	Facility		$626.05	$663.63	$663.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $776.91	Professional		$663.63	$663.63	$776.91
United Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $916.47	Professional		$663.63	$663.63	$916.47