Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.78 / $553.94 / $559.47	Facility		$196.78	$553.94	$559.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $559.47	Professional		$553.94	$553.94	$559.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $472.89 / $553.92 / $8,639.91	Facility		$472.89	$553.92	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $553.92 / $553.92 / $553.92	Professional		$553.92	$553.92	$553.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Facility		$553.94	$553.94	$553.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Professional		$553.94	$553.94	$553.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $470.85 / $553.94 / $707.57	Professional		$470.85	$553.94	$707.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $196.78 / $514.35 / $553.94	Facility		$196.78	$514.35	$553.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $234.17 / $553.94 / $559.47	Professional		$234.17	$553.94	$559.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $522.58 / $553.94 / $553.94	Facility		$522.58	$553.94	$553.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $600.97	Professional		$553.94	$553.94	$600.97
United Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $830.91	Professional		$553.94	$553.94	$830.91