Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.19 / $915.09 / $1,723.02	Facility		$659.19	$915.09	$1,723.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $924.24	Professional		$915.09	$915.09	$924.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $777.83 / $915.09 / $1,372.64	Facility		$777.83	$915.09	$1,372.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Facility		$915.09	$915.09	$915.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $777.83 / $915.09 / $1,168.89	Professional		$777.83	$915.09	$1,168.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $659.19 / $915.09 / $1,723.02	Facility		$659.19	$915.09	$1,723.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $784.44 / $915.09 / $924.24	Professional		$784.44	$915.09	$924.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $863.29 / $915.09 / $915.09	Facility		$863.29	$915.09	$915.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $949.62	Professional		$915.09	$915.09	$949.62
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,417.14	Professional		$915.09	$915.09	$1,417.14