Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $321.18 / $839.52	Facility		$318.00	$321.18	$839.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $321.18	Professional		$318.00	$318.00	$321.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $271.48 / $318.00 / $8,639.91	Facility		$271.48	$318.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Professional		$318.00	$318.00	$318.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Facility		$318.00	$318.00	$318.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $330.00	Professional		$318.00	$318.00	$330.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $270.30 / $318.00 / $406.20	Professional		$270.30	$318.00	$406.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $321.18 / $839.52	Facility		$318.00	$321.18	$839.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $321.18	Professional		$318.00	$318.00	$321.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $318.00 / $318.00	Facility		$300.00	$318.00	$318.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $353.90	Professional		$318.00	$318.00	$353.90
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $548.07	Professional		$318.00	$318.00	$548.07