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 $79.59 / $444.06 / $1,086.25	Professional		$79.59	$444.06	$1,086.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.93 / $140.93 / $140.93	Facility		$140.93	$140.93	$140.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $35.86 / $343.18	Professional		$31.19	$35.86	$343.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $60.22 / $60.22	Professional		$60.22	$60.22	$60.22
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 $111.45 / $522.82 / $1,134.58	Professional		$111.45	$522.82	$1,134.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $55.20 / $55.20	Professional		$55.20	$55.20	$55.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $140.93 / $140.93 / $140.93	Facility		$140.93	$140.93	$140.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $35.86 / $343.18	Professional		$31.19	$35.86	$343.18
United Facility/Professional Professional Modifier Low / Median / High Price $643.01 / $1,090.42 / $1,834.42	Professional		$643.01	$1,090.42	$1,834.42