Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $58.60 / $58.60	Professional		$55.15	$58.60	$58.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $48.87 / $57.25 / $8,639.91	Facility		$48.87	$57.25	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $57.25 / $57.25 / $57.25	Professional		$57.25	$57.25	$57.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Professional		$58.60	$58.60	$58.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $58.60 / $58.60	Professional		$49.81	$58.60	$58.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $58.60 / $58.60	Professional		$55.15	$58.60	$58.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Professional		$58.60	$58.60	$58.60
United Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $68.94 / $94.50	Professional		$68.94	$68.94	$94.50