Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,020.00 / $1,020.00	Professional		$960.00	$1,020.00	$1,020.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $850.29 / $996.00 / $8,639.91	Facility		$850.29	$996.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $996.00 / $996.00 / $996.00	Professional		$996.00	$996.00	$996.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $722.49 / $849.99 / $849.99	Professional		$722.49	$849.99	$849.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,020.00 / $1,020.00	Professional		$960.00	$1,020.00	$1,020.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
United Facility/Professional Professional Modifier Low / Median / High Price $710.09 / $788.99 / $1,029.63	Professional		$710.09	$788.99	$1,029.63