Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $1.89 / $2.60	Facility		$1.89	$1.89	$2.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $2.04 / $2.88	Professional		$1.61	$2.04	$2.88
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 $3.64 / $3.77 / $3.77	Professional		$3.64	$3.77	$3.77
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 $1.30 / $1.30 / $2.47	Professional		$1.30	$1.30	$2.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.18	Professional		$0.18	$0.18	$0.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $1.89 / $2.60	Facility		$1.89	$1.89	$2.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $2.04 / $2.76	Professional		$1.61	$2.04	$2.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $15.20 / $15.20	Professional		$15.20	$15.20	$15.20
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 $1.30 / $1.30 / $2.47	Professional		$1.30	$1.30	$2.47
United Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $2.00 / $4.22	Professional		$1.40	$2.00	$4.22