Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $31.78 / $33.68	Facility		$13.58	$31.78	$33.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $13.26 / $13.58	Professional		$12.78	$13.26	$13.58
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 $13.58 / $13.58 / $85.00	Facility		$13.58	$13.58	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Professional		$13.58	$13.58	$13.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $4.59	Professional		$4.59	$4.59	$4.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $31.78 / $35.04	Facility		$13.58	$31.78	$35.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $13.58 / $16.30	Professional		$12.78	$13.58	$16.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $85.00	Facility		$13.58	$13.58	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Professional		$13.58	$13.58	$13.58
United Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $2.17 / $4.16	Professional		$1.56	$2.17	$4.16