Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $76.55 / $219.60	Facility		$75.79	$76.55	$219.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $76.55	Professional		$75.79	$75.79	$76.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $64.70 / $75.79 / $8,639.91	Facility		$64.70	$75.79	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Professional		$75.79	$75.79	$75.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Facility		$75.79	$75.79	$75.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $78.65	Professional		$75.79	$75.79	$78.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $75.79 / $96.81	Professional		$64.42	$75.79	$96.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $84.01 / $219.60	Facility		$75.79	$84.01	$219.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $84.01	Professional		$75.79	$75.79	$84.01
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $75.79 / $75.79	Facility		$71.50	$75.79	$75.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $85.80	Professional		$75.79	$75.79	$85.80
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $107.04	Professional		$75.79	$75.79	$107.04