Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.76 / $197.00 / $636.45	Facility		$137.76	$197.00	$636.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $165.65 / $222.76	Professional		$31.00	$165.65	$222.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $214.07 / $342.91	Facility		$37.28	$214.07	$342.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $28.02 / $155.93	Professional		$24.37	$28.02	$155.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Professional		$50.71	$50.71	$50.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $137.76 / $216.73 / $636.45	Facility		$137.76	$216.73	$636.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $165.44 / $225.48	Professional		$31.59	$165.44	$225.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $46.50 / $46.50	Professional		$46.50	$46.50	$46.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $214.07 / $342.91	Facility		$37.28	$214.07	$342.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $28.02 / $155.93	Professional		$24.37	$28.02	$155.93
United Facility/Professional Professional Modifier Low / Median / High Price $129.07 / $198.06 / $345.29	Professional		$129.07	$198.06	$345.29