Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,921.65 / $5,381.64	Facility		$1,902.62	$1,921.65	$5,381.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,921.65	Professional		$1,902.62	$1,902.62	$1,921.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,617.23 / $1,902.62 / $8,639.91	Facility		$1,617.23	$1,902.62	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Professional		$1,902.62	$1,902.62	$1,902.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Facility		$1,902.62	$1,902.62	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,974.42	Professional		$1,902.62	$1,902.62	$1,974.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,617.23 / $1,902.62 / $2,430.34	Professional		$1,617.23	$1,902.62	$2,430.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $2,058.89 / $5,381.64	Facility		$1,902.62	$2,058.89	$5,381.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,058.89	Professional		$1,902.62	$1,902.62	$2,058.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,794.93 / $1,902.62 / $1,902.62	Facility		$1,794.93	$1,902.62	$1,902.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,423.15	Professional		$1,902.62	$1,902.62	$2,423.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,687.15	Professional		$1,902.62	$1,902.62	$2,687.15