Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $3,487.84 / $6,313.76	Facility		$2,545.87	$3,487.84	$6,313.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,396.11 / $2,545.87 / $2,545.87	Professional		$2,396.11	$2,545.87	$2,545.87
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,122.27 / $2,485.96 / $8,459.92	Facility		$2,122.27	$2,485.96	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,485.96 / $2,485.96 / $2,485.96	Professional		$2,485.96	$2,485.96	$2,485.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Facility		$2,545.87	$2,545.87	$2,545.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Professional		$2,545.87	$2,545.87	$2,545.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $423.28 / $2,545.87 / $2,545.87	Professional		$423.28	$2,545.87	$2,545.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $3,538.76 / $6,313.76	Facility		$2,545.87	$3,538.76	$6,313.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,396.11 / $2,545.87 / $4,302.52	Professional		$2,396.11	$2,545.87	$4,302.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $518.29 / $624.60	Professional		$27.40	$518.29	$624.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Facility		$2,545.87	$2,545.87	$2,545.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Professional		$2,545.87	$2,545.87	$2,545.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,645.71 / $3,526.88	Professional		$2,495.94	$2,645.71	$3,526.88