Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $742.40 / $2,146.87	Facility		$735.05	$742.40	$2,146.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $742.40	Professional		$735.05	$735.05	$742.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $624.78 / $735.04 / $1,102.56	Facility		$624.78	$735.04	$1,102.56
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $735.04 / $735.04 / $735.04	Professional		$735.04	$735.04	$735.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Facility		$735.05	$735.05	$735.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $762.78	Professional		$735.05	$735.05	$762.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $624.79 / $735.05 / $938.92	Professional		$624.79	$735.05	$938.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $821.35 / $2,146.87	Facility		$735.05	$821.35	$2,146.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $821.35	Professional		$735.05	$735.05	$821.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $693.44 / $735.05 / $735.05	Facility		$693.44	$735.05	$735.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $936.14	Professional		$735.05	$735.05	$936.14
United Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $1,345.14	Professional		$735.05	$735.05	$1,345.14