Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $153.00 / $153.00	Professional		$144.00	$153.00	$153.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $127.54 / $149.40 / $8,639.91	Facility		$127.54	$149.40	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $149.40 / $149.40	Professional		$149.40	$149.40	$149.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.05 / $153.00 / $153.00	Professional		$130.05	$153.00	$153.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $153.00 / $153.00	Professional		$144.00	$153.00	$153.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $225.00	Professional		$180.00	$180.00	$225.00