Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,555.66 / $10,667.00 / $17,495.00	Facility		$3,555.66	$10,667.00	$17,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,509.88 / $3,388.34 / $3,555.66	Professional		$2,509.88	$3,388.34	$3,555.66
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,262.84 / $3,262.84 / $3,262.84	Professional		$3,262.84	$3,262.84	$3,262.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,800.60 / $5,438.06 / $13,881.36	Facility		$2,800.60	$5,438.06	$13,881.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20,162.68 / $20,162.68 / $20,162.68	Professional		$20,162.68	$20,162.68	$20,162.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,392.29 / $5,647.23 / $10,332.33	Professional		$4,392.29	$5,647.23	$10,332.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,911.23 / $9,792.29 / $17,495.00	Facility		$3,911.23	$9,792.29	$17,495.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,635.38 / $3,388.34 / $9,884.73	Professional		$2,635.38	$3,388.34	$9,884.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,191.03 / $6,274.69 / $8,366.26	Professional		$6,191.03	$6,274.69	$8,366.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.60 / $5,438.06 / $13,881.36	Facility		$2,800.60	$5,438.06	$13,881.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20,162.68 / $20,162.68 / $20,162.68	Professional		$20,162.68	$20,162.68	$20,162.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,509.88 / $2,509.88 / $5,019.76	Facility		$2,509.88	$2,509.88	$5,019.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,756.91 / $2,509.88 / $6,274.70	Professional		$1,756.91	$2,509.88	$6,274.70