Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,252.50 / $6,757.50 / $11,083.00	Facility		$2,252.50	$6,757.50	$11,083.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.00 / $2,146.50 / $2,252.50	Professional		$1,590.00	$2,146.50	$2,252.50
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,067.00 / $2,067.00 / $2,067.00	Professional		$2,067.00	$2,067.00	$2,067.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,774.18 / $3,445.00 / $8,793.89	Facility		$1,774.18	$3,445.00	$8,793.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,773.00 / $12,773.00 / $12,773.00	Professional		$12,773.00	$12,773.00	$12,773.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,782.50 / $3,577.50 / $6,545.50	Professional		$2,782.50	$3,577.50	$6,545.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,477.75 / $6,203.39 / $11,083.00	Facility		$2,477.75	$6,203.39	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,669.50 / $2,146.50 / $6,261.95	Professional		$1,669.50	$2,146.50	$6,261.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,922.00 / $3,975.00 / $5,300.00	Professional		$3,922.00	$3,975.00	$5,300.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,774.18 / $3,445.00 / $8,793.89	Facility		$1,774.18	$3,445.00	$8,793.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12,773.00 / $12,773.00 / $12,773.00	Professional		$12,773.00	$12,773.00	$12,773.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,590.00 / $3,710.00	Professional		$1,113.00	$1,590.00	$3,710.00