Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.92 / $2,597.94 / $3,104.35	Facility		$630.92	$2,597.94	$3,104.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.36 / $601.24 / $630.92	Professional		$445.36	$601.24	$630.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $578.97 / $578.97 / $578.97	Professional		$578.97	$578.97	$578.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.95 / $964.96 / $2,463.33	Facility		$496.95	$964.96	$2,463.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,577.74 / $3,577.74 / $3,577.74	Professional		$3,577.74	$3,577.74	$3,577.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $779.38 / $1,002.06 / $1,833.41	Professional		$779.38	$1,002.06	$1,833.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $826.52 / $2,561.28 / $3,104.35	Facility		$826.52	$2,561.28	$3,104.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $487.15 / $630.92 / $3,065.58	Professional		$487.15	$630.92	$3,065.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,098.56 / $1,113.40 / $1,484.54	Professional		$1,098.56	$1,113.40	$1,484.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $496.95 / $964.96 / $2,463.33	Facility		$496.95	$964.96	$2,463.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,577.74 / $3,577.74 / $3,577.74	Professional		$3,577.74	$3,577.74	$3,577.74
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $445.36 / $1,113.41	Professional		$311.75	$445.36	$1,113.41