Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.77 / $1,639.26 / $2,710.24	Facility		$1,053.77	$1,639.26	$2,710.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,092.83 / $1,092.83	Professional		$1,028.55	$1,092.83	$1,092.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $400.31 / $468.91 / $8,459.92	Facility		$400.31	$468.91	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $468.91 / $468.91 / $468.91	Professional		$468.91	$468.91	$468.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Facility		$1,092.83	$1,092.83	$1,092.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Professional		$1,092.83	$1,092.83	$1,092.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,420.69	Professional		$1,092.83	$1,092.83	$1,420.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,639.26 / $2,710.24	Facility		$1,092.83	$1,639.26	$2,710.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,092.83 / $2,688.39	Professional		$1,028.55	$1,092.83	$2,688.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $492.90 / $594.00	Professional		$27.40	$492.90	$594.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Facility		$1,092.83	$1,092.83	$1,092.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Professional		$1,092.83	$1,092.83	$1,092.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,135.69 / $1,479.62	Professional		$1,071.41	$1,135.69	$1,479.62