Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.44 / $1,427.45 / $3,618.73	Facility		$1,384.44	$1,427.45	$3,618.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,441.72	Professional		$1,427.45	$1,427.45	$1,441.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,213.33 / $1,427.45 / $2,141.17	Facility		$1,213.33	$1,427.45	$2,141.17
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Professional		$1,427.45	$1,427.45	$1,427.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Facility		$1,427.45	$1,427.45	$1,427.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,481.32	Professional		$1,427.45	$1,427.45	$1,481.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.33 / $1,427.45 / $1,823.36	Professional		$1,213.33	$1,427.45	$1,823.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,384.44 / $1,427.45 / $3,618.73	Facility		$1,384.44	$1,427.45	$3,618.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,441.72	Professional		$1,427.45	$1,427.45	$1,441.72
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,346.65 / $1,427.45 / $1,427.45	Facility		$1,346.65	$1,427.45	$1,427.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,740.00	Professional		$1,427.45	$1,427.45	$1,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,784.31	Professional		$1,427.45	$1,427.45	$1,784.31