Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.84 / $249.88 / $249.88	Facility		$222.84	$249.88	$249.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.23 / $249.83 / $261.27	Professional		$181.23	$249.83	$261.27
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 $247.98 / $257.33 / $257.33	Professional		$247.98	$257.33	$257.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $249.88 / $249.88 / $249.88	Facility		$249.88	$249.88	$249.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $181.23 / $249.83 / $261.27	Professional		$181.23	$249.83	$261.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $249.70 / $249.70 / $249.70	Professional		$249.70	$249.70	$249.70