Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $62.40 / $187.34	Facility		$48.00	$62.40	$187.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $61.07 / $77.56	Professional		$47.32	$61.07	$77.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Facility		$71.95	$71.95	$71.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.49 / $300.91 / $300.91	Professional		$95.49	$300.91	$300.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $124.34 / $164.25 / $299.64	Professional		$124.34	$164.25	$299.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $69.59 / $191.92	Facility		$48.00	$69.59	$191.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $58.17 / $76.12	Professional		$43.18	$58.17	$76.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Professional		$86.00	$86.00	$86.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Facility		$71.95	$71.95	$71.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $300.91 / $300.91 / $300.91	Professional		$300.91	$300.91	$300.91
United Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $75.23 / $127.74	Professional		$55.95	$75.23	$127.74