Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.75 / $2,912.25 / $4,776.41	Facility		$970.75	$2,912.25	$4,776.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.24 / $925.07 / $970.75	Professional		$685.24	$925.07	$970.75
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $890.81 / $890.81 / $890.81	Professional		$890.81	$890.81	$890.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $764.61 / $1,484.68 / $3,790.07	Facility		$764.61	$1,484.68	$3,790.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,504.73 / $5,504.73 / $5,504.73	Professional		$5,504.73	$5,504.73	$5,504.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.16 / $1,541.78 / $2,820.89	Professional		$1,199.16	$1,541.78	$2,820.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,067.83 / $2,673.45 / $4,776.41	Facility		$1,067.83	$2,673.45	$4,776.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $719.50 / $925.07 / $2,698.69	Professional		$719.50	$925.07	$2,698.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.25 / $1,713.09 / $2,284.12	Professional		$1,690.25	$1,713.09	$2,284.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $764.61 / $1,484.68 / $3,790.07	Facility		$764.61	$1,484.68	$3,790.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5,504.73 / $5,504.73 / $5,504.73	Professional		$5,504.73	$5,504.73	$5,504.73
United Facility/Professional Professional Modifier Low / Median / High Price $479.67 / $685.24 / $1,713.09	Professional		$479.67	$685.24	$1,713.09