Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,807.44 / $1,969.89 / $4,724.41	Facility		$1,807.44	$1,969.89	$4,724.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,989.59	Professional		$1,969.89	$1,969.89	$1,989.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,674.41 / $1,969.89 / $8,639.91	Facility		$1,674.41	$1,969.89	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Facility		$1,969.89	$1,969.89	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,858.38 / $1,969.89 / $2,044.22	Professional		$1,858.38	$1,969.89	$2,044.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,807.44 / $1,969.89 / $4,724.41	Facility		$1,807.44	$1,969.89	$4,724.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,989.59	Professional		$1,969.89	$1,969.89	$1,989.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,858.38 / $1,969.89 / $1,969.89	Facility		$1,858.38	$1,969.89	$1,969.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,137.14	Professional		$1,969.89	$1,969.89	$2,137.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,702.16	Professional		$1,969.89	$1,969.89	$2,702.16