Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.57 / $1,060.57 / $1,060.57	Facility		$1,060.57	$1,060.57	$1,060.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.00 / $1,060.57 / $1,060.57	Professional		$818.00	$1,060.57	$1,060.57
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $733.00 / $733.00 / $733.00	Facility		$733.00	$733.00	$733.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $700.00 / $750.00	Facility		$451.00	$700.00	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.63 / $1,142.63 / $1,142.63	Professional		$1,142.63	$1,142.63	$1,142.63
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $733.00 / $733.00 / $733.00	Facility		$733.00	$733.00	$733.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $342.00 / $993.59 / $1,060.57	Professional		$342.00	$993.59	$1,060.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.92 / $139.40 / $203.37	Professional		$126.92	$139.40	$203.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $700.00 / $750.00	Facility		$451.00	$700.00	$750.00