Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.32 / $2,025.96 / $3,322.78	Facility		$675.32	$2,025.96	$3,322.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.69 / $643.54 / $675.32	Professional		$476.69	$643.54	$675.32
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $619.70 / $619.70 / $619.70	Professional		$619.70	$619.70	$619.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.91 / $1,032.83 / $2,636.10	Facility		$531.91	$1,032.83	$2,636.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,829.44 / $3,829.44 / $3,829.44	Professional		$3,829.44	$3,829.44	$3,829.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $834.21 / $1,072.56 / $1,962.39	Professional		$834.21	$1,072.56	$1,962.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $742.85 / $1,859.83 / $3,322.78	Facility		$742.85	$1,859.83	$3,322.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $500.53 / $643.54 / $1,877.39	Professional		$500.53	$643.54	$1,877.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,175.84 / $1,191.73 / $1,588.98	Professional		$1,175.84	$1,191.73	$1,588.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $531.91 / $1,032.83 / $2,636.10	Facility		$531.91	$1,032.83	$2,636.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,829.44 / $3,829.44 / $3,829.44	Professional		$3,829.44	$3,829.44	$3,829.44
United Facility/Professional Professional Modifier Low / Median / High Price $333.69 / $476.69 / $1,060.80	Professional		$333.69	$476.69	$1,060.80