Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.50 / $4,972.50 / $8,155.41	Facility		$1,657.50	$4,972.50	$8,155.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,579.50 / $1,657.50	Professional		$1,170.00	$1,579.50	$1,657.50
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,521.00 / $1,521.00 / $1,521.00	Professional		$1,521.00	$1,521.00	$1,521.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,305.53 / $2,535.00 / $6,470.73	Facility		$1,305.53	$2,535.00	$6,470.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,399.00 / $9,399.00 / $9,399.00	Professional		$9,399.00	$9,399.00	$9,399.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $2,632.50 / $4,816.50	Professional		$2,047.50	$2,632.50	$4,816.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,823.25 / $4,564.76 / $8,155.41	Facility		$1,823.25	$4,564.76	$8,155.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,228.50 / $1,579.50 / $4,607.85	Professional		$1,228.50	$1,579.50	$4,607.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,886.00 / $2,925.00 / $3,900.00	Professional		$2,886.00	$2,925.00	$3,900.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,305.53 / $2,535.00 / $6,470.73	Facility		$1,305.53	$2,535.00	$6,470.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9,399.00 / $9,399.00 / $9,399.00	Professional		$9,399.00	$9,399.00	$9,399.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $2,340.00 / $2,340.00	Facility		$1,950.00	$2,340.00	$2,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,170.00 / $2,730.00	Professional		$819.00	$1,170.00	$2,730.00