Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.93 / $125.93 / $173.33	Facility		$125.93	$125.93	$173.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $136.47 / $575.67	Professional		$89.16	$136.47	$575.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Facility		$183.96	$183.96	$183.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,249.62 / $38,249.62 / $38,249.62	Professional		$38,249.62	$38,249.62	$38,249.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $125.93 / $125.93 / $173.33	Facility		$125.93	$125.93	$173.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $136.47 / $196.09	Professional		$89.16	$136.47	$196.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $304.39 / $304.39 / $304.39	Professional		$304.39	$304.39	$304.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Facility		$183.96	$183.96	$183.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
United Facility/Professional Facility Modifier Low / Median / High Price $254.47 / $254.47 / $254.47	Facility		$254.47	$254.47	$254.47
United Facility/Professional Professional Modifier Low / Median / High Price $204.30 / $215.05 / $268.81	Professional		$204.30	$215.05	$268.81