Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,504.91 / $4,514.72 / $7,404.61	Facility		$1,504.91	$4,514.72	$7,404.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.29 / $1,434.09 / $1,504.91	Professional		$1,062.29	$1,434.09	$1,504.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,380.97 / $1,380.97 / $1,380.97	Professional		$1,380.97	$1,380.97	$1,380.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,185.33 / $2,301.62 / $5,875.27	Facility		$1,185.33	$2,301.62	$5,875.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,533.70 / $8,533.70 / $8,533.70	Professional		$8,533.70	$8,533.70	$8,533.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,859.00 / $2,390.15 / $4,373.09	Professional		$1,859.00	$2,390.15	$4,373.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,655.40 / $4,144.52 / $7,404.61	Facility		$1,655.40	$4,144.52	$7,404.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,115.40 / $1,434.09 / $4,183.64	Professional		$1,115.40	$1,434.09	$4,183.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,620.31 / $2,655.72 / $3,540.96	Professional		$2,620.31	$2,655.72	$3,540.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,185.33 / $2,301.62 / $5,875.27	Facility		$1,185.33	$2,301.62	$5,875.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8,533.70 / $8,533.70 / $8,533.70	Professional		$8,533.70	$8,533.70	$8,533.70
United Facility/Professional Professional Modifier Low / Median / High Price $743.60 / $1,062.29 / $2,363.94	Professional		$743.60	$1,062.29	$2,363.94