Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.11 / $391.46 / $391.46	Facility		$370.11	$391.46	$391.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.88 / $370.11 / $391.46	Professional		$355.88	$370.11	$391.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $340.11 / $398.40 / $8,639.91	Facility		$340.11	$398.40	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $398.40 / $398.40 / $398.40	Professional		$398.40	$398.40	$398.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.80 / $408.00 / $408.00	Professional		$346.80	$408.00	$408.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $370.11 / $370.11 / $391.46	Facility		$370.11	$370.11	$391.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $355.88 / $370.11 / $391.46	Professional		$355.88	$370.11	$391.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $480.00 / $626.40	Professional		$432.00	$480.00	$626.40