Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.73	Facility		$1.26	$1.26	$1.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.36 / $1.75	Professional		$0.92	$1.36	$1.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.27 / $2.27	Professional		$2.18	$2.27	$2.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $1.56 / $1.56	Professional		$1.56	$1.56	$1.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.73	Facility		$1.26	$1.26	$1.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $1.36 / $1.75	Professional		$0.96	$1.36	$1.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $5.60	Professional		$5.60	$5.60	$5.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.32 / $2.56	Professional		$1.03	$1.32	$2.56