Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $720.64 / $2,485.44	Facility		$713.50	$720.64	$2,485.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $720.64	Professional		$713.50	$713.50	$720.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $606.48 / $713.50 / $1,070.25	Facility		$606.48	$713.50	$1,070.25
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Professional		$713.50	$713.50	$713.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Facility		$713.50	$713.50	$713.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $774.08	Professional		$713.50	$713.50	$774.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $606.48 / $713.50 / $911.39	Professional		$606.48	$713.50	$911.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $950.87 / $2,485.44	Facility		$713.50	$950.87	$2,485.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $950.87	Professional		$713.50	$713.50	$950.87
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $713.50 / $713.50	Facility		$673.11	$713.50	$713.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $908.70	Professional		$713.50	$713.50	$908.70
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,070.25	Professional		$713.50	$713.50	$1,070.25