Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $3,748.00 / $8,017.00	Facility		$1,084.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,776.43 / $2,092.94 / $2,401.31	Professional		$1,776.43	$2,092.94	$2,401.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,051.66 / $2,129.08 / $2,129.08	Professional		$2,051.66	$2,129.08	$2,129.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,966.55 / $2,536.98 / $4,437.75	Professional		$1,966.55	$2,536.98	$4,437.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,071.49 / $5,071.49 / $5,071.49	Professional		$5,071.49	$5,071.49	$5,071.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,749.00 / $2,103.19 / $3,494.00	Professional		$1,749.00	$2,103.19	$3,494.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,146.90 / $2,146.90 / $2,146.90	Professional		$2,146.90	$2,146.90	$2,146.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,683.51 / $2,683.51 / $2,683.51	Facility		$2,683.51	$2,683.51	$2,683.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.05 / $2,608.25 / $4,808.76	Professional		$2,080.05	$2,608.25	$4,808.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,368.00	Facility		$1,440.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,051.65 / $2,655.08 / $4,446.85	Professional		$2,051.65	$2,655.08	$4,446.85