Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.43 / $911.75 / $1,089.51	Facility		$221.43	$911.75	$1,089.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $211.01 / $221.43	Professional		$156.30	$211.01	$221.43
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $203.19 / $203.19 / $203.19	Professional		$203.19	$203.19	$203.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.41 / $338.66 / $864.94	Facility		$174.41	$338.66	$864.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,255.60 / $1,255.60 / $1,255.60	Professional		$1,255.60	$1,255.60	$1,255.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $273.52 / $351.68 / $643.44	Professional		$273.52	$351.68	$643.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $290.07 / $898.90 / $1,089.51	Facility		$290.07	$898.90	$1,089.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $170.97 / $221.43 / $1,075.85	Professional		$170.97	$221.43	$1,075.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $385.54 / $390.75 / $521.00	Professional		$385.54	$390.75	$521.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $174.41 / $338.66 / $864.94	Facility		$174.41	$338.66	$864.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.60 / $1,255.60 / $1,255.60	Professional		$1,255.60	$1,255.60	$1,255.60
United Facility/Professional Facility Modifier Low / Median / High Price $156.30 / $156.30 / $312.60	Facility		$156.30	$156.30	$312.60
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $156.30 / $347.82	Professional		$109.41	$156.30	$347.82