Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,448.00 / $2,448.00 / $2,448.00	Facility		$2,448.00	$2,448.00	$2,448.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,304.00 / $2,448.00 / $2,448.00	Professional		$2,304.00	$2,448.00	$2,448.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,031.84 / $2,390.40 / $8,639.91	Facility		$2,031.84	$2,390.40	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,390.40 / $2,390.40 / $2,390.40	Professional		$2,390.40	$2,390.40	$2,390.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.00 / $2,448.00 / $2,448.00	Facility		$2,448.00	$2,448.00	$2,448.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.80 / $2,448.00 / $2,448.00	Professional		$2,080.80	$2,448.00	$2,448.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,448.00 / $2,448.00 / $2,448.00	Facility		$2,448.00	$2,448.00	$2,448.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,304.00 / $2,448.00 / $2,448.00	Professional		$2,304.00	$2,448.00	$2,448.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,448.00 / $2,448.00 / $2,448.00	Facility		$2,448.00	$2,448.00	$2,448.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $3,314.40	Professional		$2,400.00	$2,400.00	$3,314.40