Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $453.90 / $1,276.83	Facility		$449.41	$453.90	$1,276.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $453.90	Professional		$449.41	$449.41	$453.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $449.41 / $674.12	Facility		$382.00	$449.41	$674.12
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Professional		$449.41	$449.41	$449.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $487.56	Professional		$449.41	$449.41	$487.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $449.41 / $574.05	Professional		$382.00	$449.41	$574.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $488.48 / $1,276.83	Facility		$449.41	$488.48	$1,276.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $488.48	Professional		$449.41	$449.41	$488.48
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $423.97 / $449.41 / $449.41	Facility		$423.97	$449.41	$449.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $521.32	Professional		$449.41	$449.41	$521.32
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $736.32	Professional		$449.41	$449.41	$736.32