Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $127.50 / $127.50	Professional		$120.00	$127.50	$127.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $106.35 / $124.57 / $8,639.91	Facility		$106.35	$124.57	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $124.57	Professional		$124.57	$124.57	$124.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.38 / $127.50 / $127.50	Professional		$108.38	$127.50	$127.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $127.50 / $127.50	Professional		$120.00	$127.50	$127.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
United Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $150.00 / $195.75	Professional		$142.94	$150.00	$195.75