Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $34.09 / $34.46	Facility		$31.19	$34.09	$34.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $31.50 / $34.76	Professional		$28.00	$31.50	$34.76
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 $31.82 / $33.02 / $63.10	Professional		$31.82	$33.02	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $31.35 / $35.34	Facility		$31.35	$31.35	$35.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $39.60 / $62.10	Professional		$30.58	$39.60	$62.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $45.98 / $47.34	Professional		$34.88	$45.98	$47.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $34.09 / $1,812.00	Facility		$31.19	$34.09	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $32.26 / $43.83	Professional		$28.47	$32.26	$43.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $68.80 / $81.09	Professional		$56.70	$68.80	$81.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $31.35 / $35.34	Facility		$31.35	$31.35	$35.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $38.59 / $64.67	Professional		$30.58	$38.59	$64.67
United Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $37.38 / $62.86	Professional		$29.56	$37.38	$62.86