Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,807.27 / $7,441.70 / $8,892.33	Facility		$1,807.27	$7,441.70	$8,892.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.72 / $1,722.22 / $1,807.27	Professional		$1,275.72	$1,722.22	$1,807.27
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,658.44 / $1,658.44 / $1,658.44	Professional		$1,658.44	$1,658.44	$1,658.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.49 / $2,764.06 / $7,055.32	Facility		$1,423.49	$2,764.06	$7,055.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,248.28 / $10,248.28 / $10,248.28	Professional		$10,248.28	$10,248.28	$10,248.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,232.51 / $2,870.37 / $5,251.71	Professional		$2,232.51	$2,870.37	$5,251.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,367.52 / $7,336.66 / $8,892.33	Facility		$2,367.52	$7,336.66	$8,892.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,395.43 / $1,807.27 / $8,781.20	Professional		$1,395.43	$1,807.27	$8,781.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,146.78 / $3,189.30 / $4,252.39	Professional		$3,146.78	$3,189.30	$4,252.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,423.49 / $2,764.06 / $7,055.32	Facility		$1,423.49	$2,764.06	$7,055.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10,248.28 / $10,248.28 / $10,248.28	Professional		$10,248.28	$10,248.28	$10,248.28
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $1,275.72 / $2,976.68	Professional		$893.00	$1,275.72	$2,976.68