Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $102.21 / $278.00	Professional		$70.39	$102.21	$278.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,419.00 / $1,900.00	Facility		$120.23	$1,419.00	$1,900.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $115.49 / $188.48	Professional		$111.29	$115.49	$188.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $122.43 / $122.43	Facility		$122.43	$122.43	$122.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $113.56 / $183.59	Professional		$68.86	$113.56	$183.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $169.76 / $318.77	Professional		$132.04	$169.76	$318.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $113.09 / $379.82	Professional		$70.48	$113.09	$379.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $130.10 / $227.40	Professional		$125.80	$130.10	$227.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $122.43 / $122.43	Facility		$122.43	$122.43	$122.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $115.10 / $179.59	Professional		$73.14	$115.10	$179.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,228.00 / $9,711.00	Facility		$2,020.00	$6,228.00	$9,711.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $132.15 / $217.75	Professional		$107.16	$132.15	$217.75