Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,332.00 / $14,700.00 / $16,189.60	Facility		$3,332.00	$14,700.00	$16,189.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,077.60 / $3,175.20 / $3,332.00	Professional		$2,077.60	$3,175.20	$3,332.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,057.60 / $3,057.60 / $3,057.60	Professional		$3,057.60	$3,057.60	$3,057.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,548.00 / $4,713.80 / $11,913.52	Facility		$2,548.00	$4,713.80	$11,913.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18,894.40 / $18,894.40 / $18,894.40	Professional		$18,894.40	$18,894.40	$18,894.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,116.00 / $5,292.00 / $9,682.40	Professional		$4,116.00	$5,292.00	$9,682.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6,032.88 / $16,189.60 / $16,189.60	Facility		$6,032.88	$16,189.60	$16,189.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,469.60 / $3,332.00 / $16,189.60	Professional		$2,469.60	$3,332.00	$16,189.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,313.20 / $5,801.60 / $7,840.00	Professional		$5,313.20	$5,801.60	$7,840.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,624.44 / $4,953.39 / $11,913.52	Facility		$2,624.44	$4,953.39	$11,913.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18,894.40 / $18,894.40 / $18,894.40	Professional		$18,894.40	$18,894.40	$18,894.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.40 / $2,352.00 / $5,880.00	Professional		$1,646.40	$2,352.00	$5,880.00