Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.38 / $100.13 / $100.13	Facility		$83.38	$100.13	$100.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $85.56 / $106.59	Professional		$42.76	$85.56	$106.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.62 / $65.62 / $91.23	Facility		$65.62	$65.62	$91.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $58.86 / $215.16	Professional		$33.63	$58.86	$215.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $67.44 / $67.44	Professional		$67.44	$67.44	$67.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $100.13 / $100.13 / $100.13	Facility		$100.13	$100.13	$100.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $85.56 / $106.59	Professional		$42.76	$85.56	$106.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $65.62 / $75.95	Facility		$37.76	$65.62	$75.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $42.04 / $215.16	Professional		$33.63	$42.04	$215.16
United Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $1,376.00 / $6,322.00	Facility		$79.23	$1,376.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $79.75 / $141.94	Professional		$62.60	$79.75	$141.94