Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.77 / $185.86 / $185.86	Facility		$165.77	$185.86	$185.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.80 / $174.06 / $199.88	Professional		$134.80	$174.06	$199.88
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 $149.08 / $154.69 / $154.69	Professional		$149.08	$154.69	$154.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $185.86 / $185.86 / $185.86	Facility		$185.86	$185.86	$185.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.80 / $184.78 / $238.28	Professional		$134.80	$184.78	$238.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.80 / $178.80 / $211.30	Professional		$178.80	$178.80	$211.30