Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.80 / $80.23 / $219.98	Facility		$63.80	$80.23	$219.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $55.38 / $76.89	Professional		$30.10	$55.38	$76.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $64,999.35 / $64,999.35 / $64,999.35	Professional		$64,999.35	$64,999.35	$64,999.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.84 / $137.94 / $260.37	Facility		$79.84	$137.94	$260.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $90.37 / $152.72	Professional		$46.60	$90.37	$152.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $68,899.31	Professional		$55,249.45	$55,249.45	$68,899.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $63.80 / $83.33 / $219.98	Facility		$63.80	$83.33	$219.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $55.63 / $81.08	Professional		$30.10	$55.63	$81.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $272.30 / $272.30 / $272.30	Professional		$272.30	$272.30	$272.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $77.19 / $140.85 / $260.37	Facility		$77.19	$140.85	$260.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $91.39 / $152.72	Professional		$46.60	$91.39	$152.72