Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $17.69 / $19.32	Facility		$17.69	$17.69	$19.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $18.88 / $21.81	Professional		$14.12	$18.88	$21.81
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 $14.72 / $15.28 / $15.28	Professional		$14.72	$15.28	$15.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $17.69 / $19.32	Facility		$17.69	$17.69	$19.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $19.27 / $25.33	Professional		$14.25	$19.27	$25.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $24.60 / $24.60	Facility		$24.60	$24.60	$24.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $24.60 / $31.80	Professional		$24.60	$24.60	$31.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $35.00 / $51.00	Professional		$28.00	$35.00	$51.00