Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $77.02 / $86.93	Facility		$67.30	$77.02	$86.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $73.11 / $86.93	Professional		$61.08	$73.11	$86.93
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 $77.88 / $80.81 / $80.81	Professional		$77.88	$80.81	$80.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.69 / $110.69 / $110.69	Facility		$110.69	$110.69	$110.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $88.44 / $145.58	Professional		$65.73	$88.44	$145.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $114.34 / $117.20	Professional		$85.68	$114.34	$117.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $78.64 / $1,812.00	Facility		$67.30	$78.64	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $62.19 / $75.30 / $107.27	Professional		$62.19	$75.30	$107.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.60 / $174.10 / $206.60	Professional		$143.60	$174.10	$206.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $110.69 / $110.69 / $110.69	Facility		$110.69	$110.69	$110.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $88.16 / $147.29	Professional		$65.73	$88.16	$147.29
United Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $91.02 / $157.47	Professional		$71.61	$91.02	$157.47