Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $247.52	Facility		$70.00	$70.00	$247.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
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 $64,999.35 / $64,999.35 / $64,999.35	Professional		$64,999.35	$64,999.35	$64,999.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $88.90 / $247.52	Facility		$70.00	$88.90	$247.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $12,326.11 / $12,326.11 / $12,326.11	Facility		$12,326.11	$12,326.11	$12,326.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00