Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,747.00 / $8,017.00	Facility		$832.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.25 / $559.00 / $688.06	Professional		$253.25	$559.00	$688.06
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 $186.22 / $447.66 / $1,163.58	Professional		$186.22	$447.66	$1,163.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $769.14 / $1,017.90 / $1,017.90	Professional		$769.14	$1,017.90	$1,017.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,120.00 / $8,017.00	Facility		$934.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $253.25 / $592.13 / $1,659.00	Professional		$253.25	$592.13	$1,659.00
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 $187.50 / $447.66 / $1,128.79	Professional		$187.50	$447.66	$1,128.79
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 $650.15 / $806.61 / $1,348.25	Professional		$650.15	$806.61	$1,348.25