Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,583.74 / $4,751.22 / $7,792.50	Facility		$1,583.74	$4,751.22	$7,792.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.93 / $1,509.21 / $1,583.74	Professional		$1,117.93	$1,509.21	$1,583.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,453.31 / $1,453.31 / $1,453.31	Professional		$1,453.31	$1,453.31	$1,453.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,247.42 / $2,422.17 / $6,182.78	Facility		$1,247.42	$2,422.17	$6,182.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,980.71 / $8,980.71 / $8,980.71	Professional		$8,980.71	$8,980.71	$8,980.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,956.38 / $2,515.35 / $4,602.14	Professional		$1,956.38	$2,515.35	$4,602.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,742.11 / $4,361.62 / $7,792.50	Facility		$1,742.11	$4,361.62	$7,792.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,173.83 / $1,509.21 / $4,402.80	Professional		$1,173.83	$1,509.21	$4,402.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,757.57 / $2,794.83 / $3,726.44	Professional		$2,757.57	$2,794.83	$3,726.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,247.42 / $2,422.17 / $6,182.78	Facility		$1,247.42	$2,422.17	$6,182.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8,980.71 / $8,980.71 / $8,980.71	Professional		$8,980.71	$8,980.71	$8,980.71
United Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $1,117.93 / $2,487.77	Professional		$782.55	$1,117.93	$2,487.77