Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.75 / $4,475.25 / $7,339.87	Facility		$1,491.75	$4,475.25	$7,339.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,421.55 / $1,491.75	Professional		$1,053.00	$1,421.55	$1,491.75
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,368.90 / $1,368.90 / $1,368.90	Professional		$1,368.90	$1,368.90	$1,368.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.97 / $2,281.50 / $5,824.20	Facility		$1,174.97	$2,281.50	$5,824.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,459.10 / $8,459.10 / $8,459.10	Professional		$8,459.10	$8,459.10	$8,459.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,842.75 / $2,369.25 / $4,334.85	Professional		$1,842.75	$2,369.25	$4,334.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $4,108.28 / $7,339.87	Facility		$1,640.93	$4,108.28	$7,339.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,105.65 / $1,421.55 / $4,147.06	Professional		$1,105.65	$1,421.55	$4,147.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,597.40 / $2,632.50 / $3,510.00	Professional		$2,597.40	$2,632.50	$3,510.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.97 / $2,281.50 / $5,824.20	Facility		$1,174.97	$2,281.50	$5,824.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8,459.10 / $8,459.10 / $8,459.10	Professional		$8,459.10	$8,459.10	$8,459.10
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $1,053.00 / $2,457.00	Professional		$737.10	$1,053.00	$2,457.00