Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $1,458.80 / $1,458.80	Facility		$20.74	$1,458.80	$1,458.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $23.88 / $33.58	Professional		$20.22	$23.88	$33.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $29.25 / $29.25	Professional		$28.19	$29.25	$29.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $32.65 / $32.65	Facility		$32.65	$32.65	$32.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $21.05 / $33.74	Professional		$16.32	$21.05	$33.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $20.74 / $1,458.80	Facility		$20.74	$20.74	$1,458.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $28.57 / $48.40	Professional		$20.73	$28.57	$48.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $26.00 / $26.00	Facility		$26.00	$26.00	$26.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $28.50	Professional		$26.00	$26.00	$28.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
United Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $46.00 / $61.00	Professional		$35.00	$46.00	$61.00