Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $62.87 / $62.87	Facility		$62.87	$62.87	$62.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $63.80 / $73.19	Professional		$51.64	$63.80	$73.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $62.18 / $64.53	Professional		$54.85	$62.18	$64.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $74.94 / $135.00	Facility		$74.94	$74.94	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $77.15 / $129.63	Professional		$59.94	$77.15	$129.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $153.57 / $153.57 / $153.57	Facility		$153.57	$153.57	$153.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $98.73 / $176.24	Professional		$65.81	$98.73	$176.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $64.19 / $82.54	Professional		$52.25	$64.19	$82.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $88.40 / $88.40	Professional		$88.40	$88.40	$88.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $74.94 / $135.00	Facility		$74.94	$74.94	$135.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $76.84 / $129.63	Professional		$58.45	$76.84	$129.63
United Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $64.30 / $108.93	Professional		$50.92	$64.30	$108.93