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 $86.98 / $134.90 / $162.31	Professional		$86.98	$134.90	$162.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $2,269.00 / $5,284.75	Facility		$491.00	$2,269.00	$5,284.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.76 / $679.76 / $679.76	Professional		$679.76	$679.76	$679.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.72 / $196.72 / $196.72	Professional		$196.72	$196.72	$196.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $145.97 / $145.97	Professional		$145.97	$145.97	$145.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,120.00 / $8,017.00	Facility		$954.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $140.26 / $1,659.00	Professional		$90.08	$140.26	$1,659.00
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 $163.60 / $2,109.00 / $5,028.74	Facility		$163.60	$2,109.00	$5,028.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $679.76 / $679.76 / $679.76	Professional		$679.76	$679.76	$679.76
United Facility/Professional Facility Modifier Low / Median / High Price $573.00 / $1,689.00 / $3,742.00	Facility		$573.00	$1,689.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $172.60 / $284.37	Professional		$129.63	$172.60	$284.37