Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.48 / $270.00 / $957.00	Facility		$187.48	$270.00	$957.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.36 / $209.09 / $245.75	Professional		$182.36	$209.09	$245.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.79 / $278.62 / $451.33	Facility		$154.79	$278.62	$451.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $270.00 / $935.47	Professional		$235.00	$270.00	$935.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $290.27 / $290.27	Professional		$290.27	$290.27	$290.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $187.48 / $419.77 / $957.00	Facility		$187.48	$419.77	$957.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $183.53 / $209.19 / $275.00	Professional		$183.53	$209.19	$275.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $265.89 / $265.89 / $265.89	Professional		$265.89	$265.89	$265.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $199.58 / $270.47 / $375.66	Facility		$199.58	$270.47	$375.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $270.00 / $935.47	Professional		$235.00	$270.00	$935.47
United Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $119.20 / $205.93	Professional		$93.87	$119.20	$205.93