Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $2,166.00 / $2,842.00	Facility		$727.00	$2,166.00	$2,842.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $1,000.00 / $1,269.00	Facility		$644.00	$1,000.00	$1,269.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,960.00 / $1,960.00 / $1,960.00	Facility		$1,960.00	$1,960.00	$1,960.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $1,536.00 / $2,842.00	Facility		$644.00	$1,536.00	$2,842.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $925.00 / $925.00	Facility		$925.00	$925.00	$925.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $925.00 / $925.00	Facility		$925.00	$925.00	$925.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $1,000.00 / $1,269.00	Facility		$644.00	$1,000.00	$1,269.00
United Facility/Professional Facility Modifier Low / Median / High Price $372.00 / $1,013.00 / $12,388.00	Facility		$372.00	$1,013.00	$12,388.00