Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23,789.46 / $34,732.60 / $58,997.90	Facility		$23,789.46	$34,732.60	$58,997.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22,390.08 / $23,789.46 / $23,789.50	Professional		$22,390.08	$23,789.46	$23,789.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $19,559.41 / $23,229.71 / $34,844.57	Facility		$19,559.41	$23,229.71	$34,844.57
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23,229.71 / $23,229.71 / $23,229.71	Professional		$23,229.71	$23,229.71	$23,229.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Facility		$23,789.46	$23,789.46	$23,789.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Professional		$23,789.46	$23,789.46	$23,789.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Professional		$23,789.46	$23,789.46	$23,789.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23,789.50 / $35,684.19 / $58,997.90	Facility		$23,789.50	$35,684.19	$58,997.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22,390.08 / $23,789.46 / $37,111.60	Professional		$22,390.08	$23,789.46	$37,111.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Facility		$23,789.46	$23,789.46	$23,789.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Professional		$23,789.46	$23,789.46	$23,789.46
United Facility/Professional Professional Modifier Low / Median / High Price $23,323.00 / $24,722.38 / $29,853.44	Professional		$23,323.00	$24,722.38	$29,853.44