Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,247.00	Facility		$1,020.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,448.46 / $1,797.37 / $2,311.23	Professional		$1,448.46	$1,797.37	$2,311.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,195.15 / $26,041.54 / $39,341.64	Facility		$20,195.15	$26,041.54	$39,341.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,681.98 / $2,086.58 / $3,403.08	Professional		$1,681.98	$2,086.58	$3,403.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,868.01 / $1,868.01 / $1,868.01	Professional		$1,868.01	$1,868.01	$1,868.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,426.00 / $1,797.37 / $3,530.84	Professional		$1,426.00	$1,797.37	$3,530.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,477.30 / $1,477.30 / $1,750.60	Professional		$1,477.30	$1,477.30	$1,750.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,633.19 / $2,118.57 / $3,403.08	Professional		$1,633.19	$2,118.57	$3,403.08
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,216.83 / $1,690.04 / $3,191.91	Professional		$1,216.83	$1,690.04	$3,191.91