Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,422.00 / $7,799.00	Facility		$594.00	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $23.59 / $189.48	Professional		$19.19	$23.59	$189.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,594.00 / $3,718.00	Facility		$2,299.82	$2,594.00	$3,718.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $55.53 / $169.62	Professional		$37.07	$55.53	$169.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $89.61 / $89.61	Professional		$67.84	$89.61	$89.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $8,017.00	Facility		$641.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $31.10 / $1,541.00	Professional		$19.19	$31.10	$1,541.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $58.93 / $187.50	Professional		$37.07	$58.93	$187.50
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $27.96 / $49.77	Professional		$22.37	$27.96	$49.77