Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,481.66 / $10,218.60 / $12,210.50	Facility		$2,481.66	$10,218.60	$12,210.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,751.76 / $2,364.88 / $2,481.66	Professional		$1,751.76	$2,364.88	$2,481.66
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,730.00 / $2,730.00 / $2,730.00	Professional		$2,730.00	$2,730.00	$2,730.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $3,412.50 / $5,417.52	Facility		$2,275.00	$3,412.50	$5,417.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,870.00 / $16,870.00 / $16,870.00	Professional		$16,870.00	$16,870.00	$16,870.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $4,725.00 / $8,645.00	Professional		$3,675.00	$4,725.00	$8,645.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,250.97 / $10,074.40 / $12,210.50	Facility		$3,250.97	$10,074.40	$12,210.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,916.13 / $2,481.66 / $12,057.90	Professional		$1,916.13	$2,481.66	$12,057.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,180.00 / $5,250.00 / $7,000.00	Professional		$5,180.00	$5,250.00	$7,000.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $4,025.00 / $5,417.52	Facility		$2,275.00	$4,025.00	$5,417.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16,870.00 / $16,870.00 / $16,870.00	Professional		$16,870.00	$16,870.00	$16,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $4,379.39	Professional		$1,226.23	$1,751.76	$4,379.39