Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,250.00 / $12,750.00 / $20,911.30	Facility		$4,250.00	$12,750.00	$20,911.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $4,050.00 / $4,250.00	Professional		$3,000.00	$4,050.00	$4,250.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,900.00 / $3,900.00 / $3,900.00	Professional		$3,900.00	$3,900.00	$3,900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,347.50 / $6,500.00 / $16,592.43	Facility		$3,347.50	$6,500.00	$16,592.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24,100.00 / $24,100.00 / $24,100.00	Professional		$24,100.00	$24,100.00	$24,100.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,250.00 / $6,750.00 / $12,350.00	Professional		$5,250.00	$6,750.00	$12,350.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,675.00 / $11,704.50 / $20,911.30	Facility		$4,675.00	$11,704.50	$20,911.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,150.00 / $4,050.00 / $11,815.00	Professional		$3,150.00	$4,050.00	$11,815.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,400.00 / $7,500.00 / $10,000.00	Professional		$7,400.00	$7,500.00	$10,000.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,347.50 / $6,500.00 / $16,592.43	Facility		$3,347.50	$6,500.00	$16,592.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24,100.00 / $24,100.00 / $24,100.00	Professional		$24,100.00	$24,100.00	$24,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $3,000.00 / $6,676.00	Professional		$2,100.00	$3,000.00	$6,676.00