Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,304.00 / $8,240.00	Facility		$882.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.43 / $781.66 / $893.13	Professional		$656.43	$781.66	$893.13
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 $532.79 / $866.03 / $1,443.91	Professional		$532.79	$866.03	$1,443.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $904.83 / $1,197.44 / $1,197.44	Professional		$904.83	$1,197.44	$1,197.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $656.43 / $774.41 / $1,992.00	Professional		$656.43	$774.41	$1,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $626.80 / $866.03 / $1,698.72	Professional		$626.80	$866.03	$1,698.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $7,000.00 / $11,238.00	Facility		$3,340.00	$7,000.00	$11,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $758.57 / $947.13 / $1,625.22	Professional		$758.57	$947.13	$1,625.22