Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.97 / $1,688.91 / $2,769.98	Facility		$562.97	$1,688.91	$2,769.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.39 / $536.48 / $562.97	Professional		$397.39	$536.48	$562.97
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $516.61 / $516.61 / $516.61	Professional		$516.61	$516.61	$516.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.43 / $861.02 / $2,198.19	Facility		$443.43	$861.02	$2,198.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,192.38 / $3,192.38 / $3,192.38	Professional		$3,192.38	$3,192.38	$3,192.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $695.44 / $894.13 / $1,635.93	Professional		$695.44	$894.13	$1,635.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $619.27 / $1,550.43 / $2,769.98	Facility		$619.27	$1,550.43	$2,769.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $417.26 / $536.48 / $1,565.06	Professional		$417.26	$536.48	$1,565.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $980.23 / $993.48 / $1,324.64	Professional		$980.23	$993.48	$1,324.64
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $443.43 / $861.02 / $2,198.19	Facility		$443.43	$861.02	$2,198.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,192.38 / $3,192.38 / $3,192.38	Professional		$3,192.38	$3,192.38	$3,192.38
United Facility/Professional Professional Modifier Low / Median / High Price $278.17 / $397.39 / $927.25	Professional		$278.17	$397.39	$927.25