Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $3,801.89	Facility		$1,000.00	$1,819.70	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,949.84	Professional		$1,000.00	$1,000.00	$1,949.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $64,565.42 / $64,565.42 / $64,565.42	Professional		$64,565.42	$64,565.42	$64,565.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,380.38	Professional		$1,148.15	$1,148.15	$1,380.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $4,365.16	Facility		$1,096.48	$1,819.70	$4,365.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,238.72	Professional		$1,000.00	$1,000.00	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,148.15 / $1,412.54	Facility		$602.56	$1,148.15	$1,412.54