Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.17 / $4,845.51 / $7,947.14	Facility		$1,615.17	$4,845.51	$7,947.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.11 / $1,539.16 / $1,615.17	Professional		$1,140.11	$1,539.16	$1,615.17
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,482.16 / $1,482.16 / $1,482.16	Professional		$1,482.16	$1,482.16	$1,482.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,272.18 / $2,470.26 / $6,305.56	Facility		$1,272.18	$2,470.26	$6,305.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,158.95 / $9,158.95 / $9,158.95	Professional		$9,158.95	$9,158.95	$9,158.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.21 / $2,565.27 / $4,693.49	Professional		$1,995.21	$2,565.27	$4,693.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,776.69 / $4,448.17 / $7,947.14	Facility		$1,776.69	$4,448.17	$7,947.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,197.13 / $1,539.16 / $4,490.17	Professional		$1,197.13	$1,539.16	$4,490.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,812.30 / $2,850.30 / $3,800.40	Professional		$2,812.30	$2,850.30	$3,800.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,272.18 / $2,470.26 / $6,305.56	Facility		$1,272.18	$2,470.26	$6,305.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9,158.95 / $9,158.95 / $9,158.95	Professional		$9,158.95	$9,158.95	$9,158.95
United Facility/Professional Professional Modifier Low / Median / High Price $798.08 / $1,140.11 / $2,537.15	Professional		$798.08	$1,140.11	$2,537.15