Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.93 / $252.93 / $1,638.25	Facility		$252.93	$252.93	$1,638.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.46 / $252.93 / $265.27	Professional		$183.46	$252.93	$265.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $257.87 / $267.60 / $267.60	Professional		$257.87	$267.60	$267.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $252.93 / $326.95 / $1,638.25	Facility		$252.93	$326.95	$1,638.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $183.46 / $252.93 / $265.27	Professional		$183.46	$252.93	$265.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $453.30 / $453.30 / $453.30	Professional		$453.30	$453.30	$453.30