Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $5.46 / $7.51	Facility		$5.46	$5.46	$7.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $5.91 / $7.77	Professional		$4.66	$5.91	$7.77
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 $9.81 / $10.18 / $10.18	Professional		$9.81	$10.18	$10.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Professional		$7.15	$7.15	$7.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $5.46 / $7.51	Facility		$5.46	$5.46	$7.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.91 / $7.77	Professional		$4.30	$5.91	$7.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $882.57 / $882.57 / $882.57	Facility		$882.57	$882.57	$882.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $22.30 / $28.90	Professional		$22.30	$22.30	$28.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Professional		$7.15	$7.15	$7.15
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.99 / $11.86	Professional		$4.68	$5.99	$11.86