Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.32 / $1,237.28 / $1,249.66	Facility		$281.32	$1,237.28	$1,249.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,249.66	Professional		$1,237.28	$1,237.28	$1,249.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,051.69 / $1,237.28 / $8,639.91	Facility		$1,051.69	$1,237.28	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Professional		$1,237.28	$1,237.28	$1,237.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Facility		$1,237.28	$1,237.28	$1,237.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,283.97	Professional		$1,237.28	$1,237.28	$1,283.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.69 / $1,237.28 / $1,580.46	Professional		$1,051.69	$1,237.28	$1,580.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $281.32 / $1,202.33 / $1,237.28	Facility		$281.32	$1,202.33	$1,237.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,274.40	Professional		$1,237.28	$1,237.28	$1,274.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,167.25 / $1,237.28 / $1,237.28	Facility		$1,167.25	$1,237.28	$1,237.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,366.41	Professional		$1,237.28	$1,237.28	$1,366.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,679.60	Professional		$1,237.28	$1,237.28	$1,679.60