Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,422.00 / $7,799.00	Facility		$617.00	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.93 / $281.91 / $334.16	Professional		$189.93	$281.91	$334.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $1,235.59 / $2,458.16	Facility		$491.00	$1,235.59	$2,458.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.12 / $1,428.12 / $1,428.12	Professional		$1,428.12	$1,428.12	$1,428.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $412.95 / $412.95 / $412.95	Professional		$412.95	$412.95	$412.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $7,799.00	Facility		$657.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.04 / $293.83 / $1,541.00	Professional		$190.04	$293.83	$1,541.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $363.80 / $1,225.90 / $2,458.16	Facility		$363.80	$1,225.90	$2,458.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,428.12 / $1,428.12 / $1,428.12	Professional		$1,428.12	$1,428.12	$1,428.12
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,734.00 / $4,300.00	Facility		$550.00	$1,734.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.72 / $353.41 / $599.77	Professional		$266.72	$353.41	$599.77