Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $19.73 / $31.34	Facility		$19.73	$19.73	$31.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $24.68 / $32.19	Professional		$17.34	$24.68	$32.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $967.00 / $967.00	Facility		$967.00	$967.00	$967.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $40.26 / $40.26	Professional		$40.26	$40.26	$40.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.18 / $47.18 / $47.18	Facility		$47.18	$47.18	$47.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Professional		$32.44	$32.44	$32.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $54.51 / $58.38	Professional		$42.27	$54.51	$58.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $19.73 / $31.34	Facility		$19.73	$19.73	$31.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $24.68 / $32.79	Professional		$19.54	$24.68	$32.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $79.30 / $79.30	Professional		$65.20	$79.30	$79.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $47.18 / $47.18 / $47.18	Facility		$47.18	$47.18	$47.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Professional		$32.44	$32.44	$32.44
United Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $22.91 / $42.30	Professional		$20.81	$22.91	$42.30