Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $173.71 / $553.48	Facility		$143.87	$173.71	$553.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $143.87 / $182.18	Professional		$32.54	$143.87	$182.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $193.83 / $260.37	Facility		$87.14	$193.83	$260.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $27.98 / $160.60	Professional		$27.98	$27.98	$160.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $52.19 / $52.19	Professional		$52.19	$52.19	$52.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $119.80 / $188.47 / $553.48	Facility		$119.80	$188.47	$553.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $144.06 / $242.00	Professional		$95.23	$144.06	$242.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.65 / $178.65 / $193.38	Professional		$178.65	$178.65	$193.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $84.71 / $193.83 / $260.37	Facility		$84.71	$193.83	$260.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $27.98 / $160.60	Professional		$27.98	$27.98	$160.60
United Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $178.54 / $302.54	Professional		$59.49	$178.54	$302.54