Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.75 / $91.43 / $98.11	Facility		$83.75	$91.43	$98.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $86.80 / $99.04	Professional		$76.19	$86.80	$99.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $57,255.43 / $79,506.39	Facility		$5,000.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $94.25 / $94.25	Professional		$90.82	$94.25	$94.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $139.51 / $139.51	Facility		$139.51	$139.51	$139.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $103.65 / $168.95	Professional		$80.89	$103.65	$168.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $132.15 / $136.35	Professional		$99.61	$132.15	$136.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $83.75 / $91.43 / $1,812.00	Facility		$83.75	$91.43	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.97 / $87.98 / $124.77	Professional		$77.97	$87.98	$124.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $191.80 / $232.20	Professional		$158.19	$191.80	$232.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $139.51 / $139.51	Facility		$139.51	$139.51	$139.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $102.58 / $169.95	Professional		$80.59	$102.58	$169.95
United Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $104.93 / $178.07	Professional		$84.90	$104.93	$178.07