Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.73 / $53.73 / $73.95	Facility		$53.73	$53.73	$73.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $58.66 / $77.97	Professional		$53.73	$58.66	$77.97
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.59 / $112.59 / $112.59	Facility		$112.59	$112.59	$112.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $47.79	Professional		$47.79	$47.79	$47.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $124.98 / $161.16 / $172.59	Professional		$124.98	$161.16	$172.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $53.73 / $53.73 / $73.95	Facility		$53.73	$53.73	$73.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $59.53 / $76.44	Professional		$53.73	$59.53	$76.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $51.80 / $51.80	Professional		$51.80	$51.80	$51.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $112.59 / $112.59 / $112.59	Facility		$112.59	$112.59	$112.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $47.79	Professional		$47.79	$47.79	$47.79
United Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $59.93 / $107.34	Professional		$45.58	$59.93	$107.34