Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,747.00 / $8,017.00	Facility		$882.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.31 / $361.73 / $439.31	Professional		$235.31	$361.73	$439.31
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 $1,833.48 / $1,833.48 / $1,833.48	Professional		$1,833.48	$1,833.48	$1,833.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $535.61 / $535.61 / $535.61	Professional		$535.61	$535.61	$535.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,963.37 / $2,963.37 / $2,963.37	Facility		$2,963.37	$2,963.37	$2,963.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,389.00 / $8,017.00	Facility		$954.00	$3,389.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $235.31 / $377.08 / $1,741.00	Professional		$235.31	$377.08	$1,741.00
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 $440.62 / $1,225.90 / $2,458.16	Facility		$440.62	$1,225.90	$2,458.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,833.48 / $1,833.48 / $1,833.48	Professional		$1,833.48	$1,833.48	$1,833.48
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 $342.20 / $464.74 / $769.57	Professional		$342.20	$464.74	$769.57