Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.35 / $622.54 / $2,011.32	Facility		$435.35	$622.54	$2,011.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $395.72 / $552.45	Professional		$6.68	$395.72	$552.45
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 $343.18 / $343.18 / $343.18	Professional		$343.18	$343.18	$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 $435.35 / $684.89 / $2,011.32	Facility		$435.35	$684.89	$2,011.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $435.35 / $606.47	Professional		$6.68	$435.35	$606.47
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 $343.18 / $343.18 / $343.18	Professional		$343.18	$343.18	$343.18
United Facility/Professional Professional Modifier Low / Median / High Price $744.44 / $1,105.20 / $1,760.28	Professional		$744.44	$1,105.20	$1,760.28