Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.41 / $4,534.00 / $8,247.00	Facility		$1,379.41	$4,534.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.68 / $1,625.93 / $2,110.48	Professional		$1,128.68	$1,625.93	$2,110.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,095.99 / $5,095.99 / $5,095.99	Professional		$5,095.99	$5,095.99	$5,095.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,404.00	Facility		$1,020.00	$4,761.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,096.46 / $1,693.73 / $4,829.01	Professional		$1,096.46	$1,693.73	$4,829.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $4,563.00 / $8,261.00	Facility		$2,304.00	$4,563.00	$8,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,916.36 / $2,784.30 / $4,031.03	Professional		$1,916.36	$2,784.30	$4,031.03