Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,069.75 / $6,209.25 / $10,183.79	Facility		$2,069.75	$6,209.25	$10,183.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.00 / $1,972.35 / $2,069.75	Professional		$1,461.00	$1,972.35	$2,069.75
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,899.30 / $1,899.30 / $1,899.30	Professional		$1,899.30	$1,899.30	$1,899.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,630.23 / $3,165.50 / $8,079.99	Facility		$1,630.23	$3,165.50	$8,079.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,736.70 / $11,736.70 / $11,736.70	Professional		$11,736.70	$11,736.70	$11,736.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,556.75 / $3,287.25 / $6,014.45	Professional		$2,556.75	$3,287.25	$6,014.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,276.73 / $5,700.09 / $10,183.79	Facility		$2,276.73	$5,700.09	$10,183.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,534.05 / $1,972.35 / $5,753.90	Professional		$1,534.05	$1,972.35	$5,753.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,603.80 / $3,652.50 / $4,870.00	Professional		$3,603.80	$3,652.50	$4,870.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,630.23 / $3,165.50 / $8,079.99	Facility		$1,630.23	$3,165.50	$8,079.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11,736.70 / $11,736.70 / $11,736.70	Professional		$11,736.70	$11,736.70	$11,736.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.70 / $1,461.00 / $3,251.21	Professional		$1,022.70	$1,461.00	$3,251.21