Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.82 / $631.26 / $2,011.32	Facility		$522.82	$631.26	$2,011.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $444.06 / $1,086.25	Professional		$154.94	$444.06	$1,086.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.15 / $231.15 / $231.15	Facility		$231.15	$231.15	$231.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $139.85 / $778.00	Professional		$121.61	$139.85	$778.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.41 / $244.41 / $244.41	Professional		$244.41	$244.41	$244.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $522.82 / $879.41 / $2,065.14	Facility		$522.82	$879.41	$2,065.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $195.39 / $522.82 / $1,134.58	Professional		$195.39	$522.82	$1,134.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.90 / $223.90 / $223.90	Professional		$223.90	$223.90	$223.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $231.15 / $231.15 / $231.15	Facility		$231.15	$231.15	$231.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $139.85 / $778.00	Professional		$121.61	$139.85	$778.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.30 / $1,105.20 / $1,842.30	Professional		$760.30	$1,105.20	$1,842.30