Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,729.06 / $9,965.39	Facility		$3,692.14	$3,729.06	$9,965.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,729.06	Professional		$3,692.14	$3,692.14	$3,729.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,138.32 / $3,692.14 / $5,538.21	Facility		$3,138.32	$3,692.14	$5,538.21
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,483.15 / $3,692.14 / $3,692.14	Facility		$3,483.15	$3,692.14	$3,692.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,138.32 / $3,692.14 / $4,716.18	Professional		$3,138.32	$3,692.14	$4,716.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,812.52 / $9,965.39	Facility		$3,692.14	$3,812.52	$9,965.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,812.52	Professional		$3,692.14	$3,692.14	$3,812.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,483.15 / $3,692.14 / $3,692.14	Facility		$3,483.15	$3,692.14	$3,692.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $5,098.85	Professional		$3,692.14	$3,692.14	$5,098.85