Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $2,660.00 / $3,178.52	Facility		$646.00	$2,660.00	$3,178.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $615.60 / $646.00	Professional		$456.00	$615.60	$646.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $592.79 / $592.79	Professional		$592.79	$592.79	$592.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.82 / $988.00 / $2,522.01	Facility		$508.82	$988.00	$2,522.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,663.20 / $3,663.20 / $3,663.20	Professional		$3,663.20	$3,663.20	$3,663.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $798.00 / $1,026.00 / $1,877.20	Professional		$798.00	$1,026.00	$1,877.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $846.26 / $2,622.46 / $3,178.52	Facility		$846.26	$2,622.46	$3,178.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $498.79 / $646.00 / $3,138.80	Professional		$498.79	$646.00	$3,138.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.80 / $1,140.00 / $1,520.00	Professional		$1,124.80	$1,140.00	$1,520.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $508.82 / $988.00 / $2,522.01	Facility		$508.82	$988.00	$2,522.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,663.20 / $3,663.20 / $3,663.20	Professional		$3,663.20	$3,663.20	$3,663.20
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $1,390.80	Professional		$319.20	$456.00	$1,390.80