Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,745.00 / $8,017.00	Facility		$768.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.51 / $401.10 / $1,063.56	Professional		$328.51	$401.10	$1,063.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,522.54 / $11,730.00 / $17,952.00	Facility		$9,522.54	$11,730.00	$17,952.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.29 / $554.75 / $863.46	Professional		$349.29	$554.75	$863.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $452.41 / $598.73 / $598.73	Professional		$452.41	$598.73	$598.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,964.00 / $8,017.00	Facility		$954.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $328.51 / $404.35 / $1,820.00	Professional		$328.51	$404.35	$1,820.00
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 $410.93 / $540.28 / $1,015.83	Professional		$410.93	$540.28	$1,015.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.09 / $478.94 / $765.52	Professional		$382.09	$478.94	$765.52