Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $46.35 / $66.18	Facility		$46.35	$46.35	$66.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $27.64 / $49.61	Professional		$21.98	$27.64	$49.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $25.80 / $25.80	Professional		$23.60	$25.80	$25.80
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $25.98 / $42.65	Professional		$22.08	$25.98	$42.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $60.00	Facility		$38.15	$38.15	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $27.57 / $53.43	Professional		$20.23	$27.57	$53.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $34.22 / $51.21	Professional		$24.94	$34.22	$51.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $46.35 / $66.18	Facility		$46.35	$46.35	$66.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $27.64 / $58.50	Professional		$22.37	$27.64	$58.50
Optum Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $23.01 / $38.93	Professional		$14.34	$23.01	$38.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $23.01 / $51.10	Professional		$14.34	$23.01	$51.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $60.00	Facility		$38.15	$38.15	$60.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $26.84 / $54.64	Professional		$20.23	$26.84	$54.64
United Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $28.99 / $51.92	Professional		$22.29	$28.99	$51.92