Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $73.23	Facility		$57.67	$57.67	$73.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $967.00 / $967.00	Facility		$967.00	$967.00	$967.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.86 / $104.86	Professional		$10.23	$12.86	$104.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $73.23	Facility		$57.67	$57.67	$73.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $58.79	Professional		$57.67	$57.67	$58.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $51.90 / $56.80	Professional		$51.90	$51.90	$56.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.24 / $104.86	Professional		$10.23	$11.24	$104.86
United Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $63.55 / $115.35	Professional		$55.92	$63.55	$115.35