Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.20 / $277.20 / $277.20	Facility		$277.20	$277.20	$277.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $64,999.35 / $64,999.35	Professional		$55,249.45	$64,999.35	$64,999.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $228.00 / $228.00	Professional		$228.00	$228.00	$228.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $277.20 / $277.20 / $277.20	Facility		$277.20	$277.20	$277.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $206.40 / $350.00 / $350.00	Professional		$206.40	$350.00	$350.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $104.50 / $157.94	Professional		$95.00	$104.50	$157.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $104.50 / $157.94	Professional		$95.00	$104.50	$157.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $228.00 / $228.00	Professional		$228.00	$228.00	$228.00
United Facility/Professional Facility Modifier Low / Median / High Price $60.47 / $80.18 / $99.56	Facility		$60.47	$80.18	$99.56
United Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $104.50 / $157.94	Professional		$95.00	$104.50	$157.94