Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,930.67 / $2,979.56 / $7,660.38	Facility		$2,930.67	$2,979.56	$7,660.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,009.35	Professional		$2,979.56	$2,979.56	$3,009.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,532.63 / $2,979.56 / $4,469.34	Facility		$2,532.63	$2,979.56	$4,469.34
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $2,979.56	Professional		$2,979.56	$2,979.56	$2,979.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,863.13 / $2,979.55 / $2,979.55	Facility		$2,863.13	$2,979.55	$2,979.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $2,979.55	Professional		$2,979.55	$2,979.55	$2,979.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,850.00 / $2,979.55 / $3,091.99	Professional		$2,850.00	$2,979.55	$3,091.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,930.67 / $2,979.56 / $7,660.38	Facility		$2,930.67	$2,979.56	$7,660.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,068.94	Professional		$2,979.56	$2,979.56	$3,068.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,810.90 / $2,979.55 / $2,979.55	Facility		$2,810.90	$2,979.55	$2,979.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $2,979.55	Professional		$2,979.55	$2,979.55	$2,979.55
United Facility/Professional Professional Modifier Low / Median / High Price $2,855.38 / $2,979.56 / $3,888.33	Professional		$2,855.38	$2,979.56	$3,888.33